Organization
FULL CIRCLE HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE WHITE PHD (PSYCHOLOGIST-DOCTORATE)
(802) 505-1748
Entity
Organization
Contact information
Practice address
73 MAIN ST, SUITE 19, MONTPELIER, VT 05602-2932
(802) 505-1748
Mailing address
73 MAIN ST, SUITE 19, MONTPELIER, VT 05602-2932
(802) 505-1748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0074506
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019174
—
VT
Enumeration date
09/11/2011
Last updated
09/11/2011
Update your record
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