Individual
PHIL PROTHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MDIV, LCMHC
Contact information
Practice address
205 BILLINGS FARM RD STE 2D, WHITE RIVER JUNCTION, VT 05001
(802) 356-1731
Mailing address
PO BOX 1132, WHITE RIVER JUNCTION, VT 05001-1132
(802) 356-1731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0076445
VT
101YM0800X
Mental Health Counselor
LH00011059
WA
101YM0800X
Mental Health Counselor
RC00047624
WA
Other
Enumeration date
11/08/2006
Last updated
05/21/2018
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