Organization
NC PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN HASKELL PSYD (MEMBER)
(802) 917-2836
Entity
Organization
Contact information
Practice address
162 ELM ST, MONTPELIER, VT 05602-2896
(802) 917-2836
Mailing address
162 ELM ST, MONTPELIER, VT 05602-2896
(802) 917-2836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
08/05/2024
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