Individual
EVAN MATTHEW OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
5354 MAIN ST, WAITSFIELD, VT 05673-6003
(802) 583-1144
Mailing address
515 E WARREN RD, WAITSFIELD, VT 05673-7310
(516) 359-0292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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