| NPI | 1932386596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY R. COUNTS Owner 802-359-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 5320) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E7971) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2019-01-19 |