Individual provider · Type 1 NPI

Avery McCoy Gardner

Mental Health Counselor · South Burlington, VT

NPI number 1912790916 Active

Practice location

1233 Shelburne Rd Ste 203
South Burlington, VT 05403-7733

Call (802) 391-0704 Map

Mailing address

201 West St Apt A
Winooski, VT 05404-1775

Other practice locations

  • 201 West St Apt A, Winooski, VT 05404-1775 · (802) 391-0704

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC.2406382 (OH)
Mental Health Counselor Primary 101YM0800X097.0136418 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1912790916

Avery McCoy Gardner's National Provider Identifier is 1912790916, issued on May 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Burlington, VT. The record was last updated on May 23, 2025.