Individual
DEANNA R BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
579 S BARRE RD, BARRE, VT 05641-8107
(802) 476-1480
(802) 479-4095
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 476-1480
(802) 479-4095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000313
VT
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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