Individual
MICHAEL DANIEL ANDERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 STATE ST, MONTPELIER, VT 05602-2965
(802) 249-0877
Mailing address
149 STATE ST, MONTPELIER, VT 05602-2965
(802) 249-0877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134986
VT
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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