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ALEXANDER LODGE, MA
MA
Psychologist
NPI: 1720700404IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
047.0133699(VT)
PsychologistPrimary
Psychologist
Code: 103T00000X
047.0133699(VT)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 75 TALCOTT RD STE 30
WILLISTON, VT 05495 - Phone
- (802) 503-2929
Quick Facts
- NPI
- 1720700404
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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