15 EAST COLLECTIVE LLC

WOLCOTT, VT
NPI1285479162
Entity TypeOrganization
Authorized ContactDARRIN GREENE
Psychologist Masters Level
802-323-1236
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2024-07-01
Last Update Date2024-11-01
Business Address
15 EAST COLLECTIVE LLC
1225 VT-15
WOLCOTT, VT 05680
Phone number: 802-323-8392
Mailing Address
15 EAST COLLECTIVE LLC
1225 VT 15
WOLCOTT, VT 05680-3034
Phone number: 802-323-8392