Organization
RED CLOVER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L. CASTONGUAY LCMHC (OWNER)
(207) 478-5446
Entity
Organization
Contact information
Practice address
6 MERRILL LN UNIT 103, MILTON, VT 05468-3324
(207) 478-5446
Mailing address
6 MERRILL LN UNIT 103, MILTON, VT 05468-3324
(207) 478-5446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0057801
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019925
—
VT
Enumeration date
10/07/2016
Last updated
10/07/2016
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