person
Ellen Cf Moore, LCMHC
Mental Health Counselor in Lyndonville, Vermont
NPI 1881763779

Ellen Cf Moore is a Mental Health Counselor based in Lyndonville, VT and is specialized in Mental Health. Ellen Cf Moore practices in Lyndonville, VT and has the professional credentials of LCMHC. The NPI Number for Ellen Cf Moore is 1881763779 and holds a License No. 0680000355 (Vermont).

The current practice location address for Ellen Cf Moore is 18 Tulip Street, Lyndonville, VT and can be reached out via phone at 802-626-8189 and via fax at 704-987-8746.

Location: 18 Tulip Street, Lyndonville, VT, 05851-1161
person
Provider Profile Details
NPI Number
1881763779
Provider Name
Ellen Cf Moore
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
18 Tulip Street, Lyndonville, VT, 05851-1161
Phone Number
802-626-8189
Fax Number
704-987-8746
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1049971 01 VT CIGNA
711988 01 VT MOHAWK VALLEY PLAN
00029643 01 VT BCBS
1007327 05 VT
institution
Provider Business Practice Location Address Details
Address
18 Tulip Street
City
State
Zip
05851
Phone Number
802-626-8189
Fax Number
704-987-8746
person
Provider Business Mailing Address Details
Address
18 Tulip Street
City
State
Zip
05851
Phone Number
802-626-8189
Fax Number
704-987-8746
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0680000355 (Vermont)
Definition
Definition to come...
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