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Ms. Ivy Florence Freeman, MA
Mental Health Counselor in Rutland, Vermont
NPI 1740365006

Ivy Florence Freeman is a Mental Health Counselor based in Rutland, VT and is specialized in Mental Health. Ivy Florence Freeman practices in Rutland, VT and has the professional credentials of MA. The NPI Number for Ivy Florence Freeman is 1740365006 and holds a License No. 0680000052 (Vermont).

The current practice location address for Ivy Florence Freeman is 10 Easterly Avenue, Rutland, VT and can be reached out via phone at 802-773-1116 and via fax at 802-773-1116.

Location: 10 Easterly Avenue, Rutland, VT, 05701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740365006
Provider Name
Ivy Florence Freeman
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
10 Easterly Avenue, Rutland, VT, 05701
Phone Number
802-773-1116
Fax Number
802-773-1116
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5660 01 VT BLUE CROSS BLUE SHIELD
1006859 05 VT
institution
Provider Business Practice Location Address Details
Address
10 Easterly Avenue
City
Rutland
State
Vermont
Zip
05701
Phone Number
802-773-1116
Fax Number
802-773-1116
person
Provider Business Mailing Address Details
Address
10 Easterly Avenue
City
Rutland
State
Vermont
Zip
05701
Phone Number
802-773-1116
Fax Number
802-773-1116
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0680000052 (Vermont)
Definition
Definition to come...
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