Individual
NATHAN LEE KOKERNOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 LIBERTY ST, MONTPELIER, VT 05602-2420
(802) 299-1860
Mailing address
61 LIBERTY ST, MONTPELIER, VT 05602-2420
(802) 299-1860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VT
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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