Individual
AMY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
564 ROUTE 2 STE 5, SOUTH HERO, VT 05486-4308
(802) 559-2575
Mailing address
8 ACCESS RD, MILTON, VT 05468-3300
(802) 893-3878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0135926
VT
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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