Individual
MR. MOURNING FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LCMHC
Contact information
Practice address
72 HARREL ST, MORRISVILLE, VT 05661-8526
(802) 888-5026
(802) 888-6393
Mailing address
72 HARREL ST, MORRISVILLE, VT 05661-8526
(802) 888-5026
(802) 888-6393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000373
VT
101YM0800X
Mental Health Counselor
5544
MA
Other
Enumeration date
04/13/2011
Last updated
06/21/2012
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