Individual
STEVEN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CLIF REYNOLDS RD, JEFFERSONVILLE, VT 05464-9474
(845) 392-5510
Mailing address
480 CLIF REYNOLDS RD, JEFFERSONVILLE, VT 05464-9474
(845) 392-5510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134320
VT
Other
Enumeration date
03/28/2024
Last updated
06/11/2024
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