Individual
LISA MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 JASMIN LN, RUTLAND, VT 05701-3601
(802) 775-4388
Mailing address
18 JASMIN LN, RUTLAND, VT 05701-3601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LI-893719
VT
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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