Organization · Type 2 NPI
Idlewild Associates, LLC
Counselor · Poultney, VT
NPI number
1164800884
Active
Practice location
153 Main St
Poultney, VT 05764-4413
Mailing address
PO Box 7
Poultney, VT 05764-0007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 097.0107404 (VT) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1164800884
Idlewild Associates, LLC's National Provider Identifier is 1164800884, issued on May 14, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Poultney, VT. The record was last updated on May 14, 2015.