MR. CLINTON TYLER WOOD LCMHC NPI 1760690150

NPI Information

NPI: 1760690150
Provider Name: MR. CLINTON TYLER WOOD, LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
50 MANSFIELD AVENUE
MATER CHRISTI SCHOOL
BURLINGTON, VT
ZIP 05401
Phone: (802) 658-3992
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MR. Clinton Tyler Wood, LCMHC is a mental health counselor in Burlington, VT. MR. Clinton Tyler Wood, LCMHC NPI is 1760690150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 MANSFIELD AVENUE
MATER CHRISTI SCHOOL
BURLINGTON, VT
ZIP 05401
Phone: (802) 658-3992

The enumeration date for this NPI number is 5/18/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	068-0000137	VERMONT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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