Individual
AVERY MCCOY GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 SHELBURNE RD STE 203, SOUTH BURLINGTON, VT 05403-7733
(802) 391-0704
Mailing address
201 WEST ST APT A, WINOOSKI, VT 05404-1775
(609) 661-2423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0136418
VT
101YM0800X
Mental Health Counselor
C.2406382
OH
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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