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Organization
FAMILY TREE COUNSELING ASSOCIATES, PLC
Active
Organization
FAMILY TREE COUNSELING ASSOCIATES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE VANDEN BERGH LCSW (PART OWNER)
(802) 223-7364
Entity
Organization
Contact information
Practice address
250 MAIN ST STE 101, MONTPELIER, VT 05602-4258
(802) 223-7364
(802) 223-8679
Mailing address
250 MAIN ST STE 101, MONTPELIER, VT 05602-4258
(802) 223-7364
(802) 223-8679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000770
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008150
—
VT
01
—
58392
BCBS OF VT
VT
Enumeration date
01/17/2007
Last updated
11/12/2012
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