Individual
EVE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
BRATTLEBORO PASTORAL COUNSELING CENTER, 190 MAIN STREET, BRATTLEBORO, VT 05301
(802) 254-9071
(802) 254-9071
Mailing address
1249 AMES HILL ROAD, BRATTLEBORO, VT 05301
(802) 257-0963
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0680000502
VT
101Y00000X
Counselor
4255
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007367
—
VT
01
—
49550
BLUE CROSS BLUE SHIELD
MA
01
—
49550
BLUE CROSS BLUE SHIELD
VT
Enumeration date
12/27/2006
Last updated
07/08/2007
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