Individual provider · Type 1 NPI

Clinton Tyler Wood, LCMHC

Mental Health Counselor · Burlington, VT

NPI number 1760690150 Active

Practice location

50 Mansfield Avenue, Mater Christi School
Burlington, VT 05401

Call (802) 658-3992 Map

Mailing address

96 Lopes Ave
Burlington, VT 05401-2535

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X068-0000137 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1760690150

Clinton Tyler Wood, LCMHC's National Provider Identifier is 1760690150, issued on May 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, VT. The record was last updated on Jul 8, 2007.