Savanna O'Connor, LCMHC
Counselor, Mental Health in Jericho, VT. Individual provider (NPI-1).
NPI number1679159784
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1679159784
- Entity type
- Individual (NPI-1)
- Name
- Savanna O'Connor
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2021
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 068.0134305 | VT | Yes |
Practice location
59 Fields LnJericho, VT 05465-9627
Phone 518-569-3369
Mailing address
Po Box 1057Jericho, VT 05465-1057
Phone 518-569-3369
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