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Organization

VINCENT BUCKHOLZ, LICSW, PLLC

Active
Other names
Counter Balance
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT BUCKHOLZ LICSW (OWNER)
(802) 692-0697
Entity
Organization

Contact information

Practice address
56 MAIN ST STE 212, SPRINGFIELD, VT 05156-2945
(802) 692-0697
Mailing address
56 MAIN ST STE 212, SPRINGFIELD, VT 05156-2945
(802) 692-0697

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0890114807
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030150
VT
Enumeration date
02/07/2018
Last updated
02/12/2018
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