Distancetherapy.com | |
130 Mansfield Ave Apt 201 Burlington VT 05401-3396 | |
(802) 448-3954 | |
Not Available |
Full Name | Distancetherapy.com |
---|---|
Speciality | Counselor - Mental Health |
Location | 130 Mansfield Ave Apt 201, Burlington, Vermont |
Authorized Official Name and Position | Lynn Ruth Martin (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8024483954 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Distancetherapy.com 130 Mansfield Ave Apt 201 Burlington VT 05401-3396 Ph: (802) 448-3954 | Distancetherapy.com 130 Mansfield Ave Apt 201 Burlington VT 05401-3396 Ph: (802) 448-3954 |
NPI Number | 1013417914 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 02/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013417914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0102645 (Vermont) | Primary |
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