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Individual

ANDREA NAKAMURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMH

Contact information

Practice address
7 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-4388
(802) 775-3307
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4594
(802) 775-4388
(802) 775-3307

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680129950
VT

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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