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Individual

ERICA FAYRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC, LMHC, ATR

Contact information

Practice address
2 S MAIN ST STE 8, RANDOLPH, VT 05060-1367
(802) 552-8604
Mailing address
PO BOX 512, BROOKFIELD, VT 05036-0512
(802) 552-8604

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068.0134143
VT
101YM0800X
Mental Health Counselor
6164
MA

Other

Enumeration date
10/16/2007
Last updated
01/24/2024
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