Individual
STEPHEN R MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
641 COMSTOCK RD, BERLIN, VT 05602-9610
(802) 229-4760
Mailing address
62 TERRACE ST, MONTPELIER, VT 05602-2155
(802) 229-4760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000441
VT
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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