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Organization
CHAMPLAIN CENTER FOR PLAY THERAPY AND FAMILY COUNSELING
Active
Organization
CHAMPLAIN CENTER FOR PLAY THERAPY AND FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN NAGAO MARCOTTE LICSW (CO-OWNER)
(802) 222-6247
Entity
Organization
Contact information
Practice address
300 CORNERSTONE DR STE 320, WILLISTON, VT 05495-4012
(802) 222-6247
Mailing address
145 PINE HAVEN SHORES RD STE 100A, SHELBURNE, VT 05482-7703
(802) 222-6247
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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