Individual
STEPHANIE NICHEPORUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
21 MERCHANT ST, BARRE, VT 05641-3871
(802) 404-2127
Mailing address
21 MERCHANT ST, BARRE, VT 05641-3871
(802) 404-2127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0136220
VT
Other
Enumeration date
10/09/2025
Last updated
10/24/2025
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