# THE MENTOR CONNECTOR

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

## Provider details

- **NPI number:** 1154083319
- **Authorized official:** CHRISTOPHER HULTQUIST (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (802) 775-3434

## Contact information

- **Practice address:** 110 MERCHANTS ROW STE 210, RUTLAND, VT 05701
- **Practice address phone:** (802) 775-3434
- **Mailing address:** 110 MERCHANTS ROW STE 210, RUTLAND, VT 05701
- **Mailing address phone:** (802) 775-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/06/2021