Individual
NANCY KENYON RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
100 HOSPITALITY DRIVE, BERLIN, VT 05641
(802) 223-4156
(802) 223-4332
Mailing address
PO BOX 1468, MONTPELIER, VT 05601-1468
(802) 223-4156
(802) 223-4332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000694
VT
101YM0800X
Mental Health Counselor
068-0134318
VT
Other
Enumeration date
12/04/2015
Last updated
05/24/2024
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