Vine Counseling Pllc
NPI #1780560771 in Leicester, Massachusetts
Provider Information
- NPI Number
- 1780560771
- Entity Type
- Organization
- Organization Name
- Vine Counseling Pllc
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 14, 2025
- Last Updated
- Aug 14, 2025
Practice Location
- Address
- 1136 MAIN ST
- City
- Leicester
- State
- Massachusetts
- ZIP Code
- 01524-1349
- Phone
- (607) 207-6681
Authorized Official
- Name
- STACI LYN JACKSON, LMFT
- Title
- CEO
- Phone
- (607) 207-6681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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