Organization
EVOLUTION PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHEPPARD LCMHC (OWNER)
(802) 448-0448
Entity
Organization
Contact information
Practice address
133 BLAKELY RD STE 202, COLCHESTER, VT 05446-3984
(802) 448-0448
Mailing address
PO BOX 541, COLCHESTER, VT 05446-0541
(802) 448-0448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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