Provider Demographics
NPI:1841622420
Name:PALMER, ERIN (LCMHC, NCC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 N. MAIN STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05663
Mailing Address - Country:US
Mailing Address - Phone:802-222-1779
Mailing Address - Fax:
Practice Address - Street 1:38 N. MAIN STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTHFIELD
Practice Address - State:VT
Practice Address - Zip Code:05663
Practice Address - Country:US
Practice Address - Phone:802-222-1779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0081043101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health