Individual
MR. JONATHAN GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., C.A.S.
Contact information
Practice address
167 N MAIN ST, WALLINGFORD, VT 05773-9800
(802) 353-3537
Mailing address
167 N MAIN ST, WALLINGFORD, VT 05773-9800
(802) 446-3577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0001.159
VT
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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