Individual
TAISIYA TESS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
42 SUMMER ST STE 3, BARRE, VT 05641-3726
(802) 505-9151
(802) 448-2729
Mailing address
PO BOX 1103, BARRE, VT 05641-1103
(802) 505-9151
(802) 229-8004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0097993
VT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6710686
—
VT
Enumeration date
05/23/2011
Last updated
07/24/2024
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