Individual
BRENDA TIGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 CRAWFORD ROAD, DERBY, VT 05829-0000
(802) 334-6744
(802) 334-7340
Mailing address
PO BOX 724, NEWPORT, VT 05855-0724
(802) 334-6744
(802) 334-7340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680073876
VT
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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