| Integrative Counseling Services Llc | |
|
28 Howard St Ste 206 Burlington VT 05401-5983 | |
| (802) 793-6655 | |
| Not Available |
| Full Name | Integrative Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 28 Howard St Ste 206, Burlington, Vermont |
| Authorized Official Name and Position | Carmen Maron Walker (PYSCHOTHERAPIST) |
| Authorized Official Contact | 8027936655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Services Llc 28 Howard St Ste 206 Burlington VT 05401-5983 Ph: (802) 793-6655 | Integrative Counseling Services Llc 28 Howard St Ste 206 Burlington VT 05401-5983 Ph: (802) 793-6655 |
| NPI Number | 1376254722 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376254722 | NPI | - | NPPES |
| 1025272 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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