Individual
SANDRA ELYSA BERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1388 BLOCKHOUSE PT RD, NORTH HERO, VT 05474-9666
(802) 527-7494
Mailing address
1388 BLOCKHOUSE PT RD, NORTH HERO, VT 05474-9666
(802) 527-7494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000508
VT
101YM0800X
Mental Health Counselor
334
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009871
—
VT
Enumeration date
07/01/2006
Last updated
06/24/2024
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