| NPI | 1316323223 | 
|---|---|
| Doing Business As | VILLAGE COUSELING ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | KILLY BASCOM Owner 802-662-1655 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890087148) | 
| Enumeration Date | 2015-08-03 | 
| Last Update Date | 2025-09-02 |