Green Heron Psychotherapy Pllc

NPI #1194409243 in Woodstock, Vermont

Provider Information

NPI Number: 1194409243
Entity Type: Organization
Organization Name: Green Heron Psychotherapy Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 250 HALL CIR
City: Woodstock
State: Vermont
ZIP Code: 05091-6022
Phone: (802) 432-8184

Authorized Official

Name: ALLY BERNSTEIN, LICSW
Title: MANAGING DIRECTOR
Phone: (802) 432-8184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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