| NPI | 1508304254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BARBARA LACASSE Licensed Mental Health Professional 802-695-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1195) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |