Individual
MR. CLINTON TYLER WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
50 MANSFIELD AVENUE, MATER CHRISTI SCHOOL, BURLINGTON, VT 05401
(802) 658-3992
Mailing address
96 LOPES AVE, BURLINGTON, VT 05401-2535
(802) 860-6463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000137
VT
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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