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Organization
THE HEALING HEART COLLECTIVE PLC
Active
Organization
THE HEALING HEART COLLECTIVE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIENNA FONTAINE LICSW, LADC (CLINICIAN AND OWNER)
(802) 318-2993
Entity
Organization
Contact information
Practice address
1 MILL ST STE 324, BURLINGTON, VT 05401-1554
(802) 318-2993
Mailing address
1 MILL ST STE 324, BURLINGTON, VT 05401-1554
(802) 318-2993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
04/16/2024
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