| NPI | 1548726649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALAN LUCIER Licensed Mental Health Counselor 802-505-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |