# FAMILY TREE COUNSELING ASSOCIATES, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134271695
- **Authorized official:** KATE VANDEN BERGH LCSW (PART OWNER)
- **Authorized official phone:** (802) 223-7364

## Contact information

- **Practice address:** 250 MAIN ST STE 101, MONTPELIER, VT 05602-4258
- **Practice address phone:** (802) 223-7364
- **Practice address fax:** (802) 223-8679
- **Mailing address:** 250 MAIN ST STE 101, MONTPELIER, VT 05602-4258
- **Mailing address phone:** (802) 223-7364
- **Mailing address fax:** (802) 223-8679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089-0000770 | VT | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 11/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1008150 | — | VT |
| 01 | — | 58392 | BCBS OF VT | VT |