NPI 1043759046

Ann Gannon

Practitioner Mental Health Counselor Waterbury, VT

Practice location

Address: 567 S Pinnacle Ridge Rd, Waterbury, VT 05676-9623
Phone: (802) 498-7979
Mailing address: 132 Main St, Montpelier, VT 05602-3226

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 089.0114055 (VT)

Other Counselor providers in Vermont →

Registry record

NPI: 1043759046
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2017
Record last updated: 23 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.