Provider Demographics
NPI:1518313378
Name:GRIFFIN, FIONA (LCMHC)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CHURCH ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4284
Mailing Address - Country:US
Mailing Address - Phone:802-448-0698
Mailing Address - Fax:
Practice Address - Street 1:2 CHURCH ST STE 2C
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4284
Practice Address - Country:US
Practice Address - Phone:802-448-0698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0082043101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health