Individual
MS. REBECCA STUART DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
111 MAIN STREET, HYDE PARK, VT 05655
(802) 888-6215
Mailing address
578 GATES FARM RD, WOLCOTT, VT 05680-4269
(802) 888-5188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000323
VT
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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