Individual
MS. EVA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACP
Contact information
Practice address
20 WEST CANAL ST, WOOLEN MILL OFFICES, WINOOSKI, VT 05404
(802) 863-3399
Mailing address
20 WEST CANAL ST, WOOLEN MILL OFFICES, WINOOSKI, VT 05404
(802) 863-3399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0680000358
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010824
—
VT
Enumeration date
12/19/2006
Last updated
07/08/2007
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