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Organization
WATER'S EDGE PSYCHOTHERAPY AND WELLNESS CENTER
Active
Organization
WATER'S EDGE PSYCHOTHERAPY AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WACKERMAN MSW (PARTNER)
(206) 963-4907
Entity
Organization
Contact information
Practice address
47 MAPLE ST, BURLINGTON, VT 05401-4861
(802) 651-7807
Mailing address
47 MAPLE ST STE 331, BURLINGTON, VT 05401-5097
(206) 963-4907
(802) 861-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
VT
1041C0700X
Clinical Social Worker
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006773
—
VT
05
—
1018888
—
VT
05
—
1285055376
—
VT
Enumeration date
12/17/2013
Last updated
02/25/2022
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