NPI 1013417914

Distancetherapy.Com

Organisation Mental Health Counselor Burlington, VT

Practice location

Address: 130 Mansfield Ave APT 201, Burlington, VT 05401-3396
Phone: (802) 448-3954

Authorised official

Name: Lynn Ruth Martin
Title: Mental Health Counselor
Phone: (802) 448-3954

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 068.0102645 (VT)

Other Counselor providers in Vermont →

Registry record

NPI: 1013417914
Entity type: Organization
NPI issued: 16 Feb 2018
Record last updated: 16 Feb 2018

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.