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Organization
KBB PSYCHOTHERAPY, LLC
Active
Organization
KBB PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BREAULT-BOLIO MS, LMCHC, LADC (OWNER/PROVIDER)
(802) 944-4718
Entity
Organization
Contact information
Practice address
183 TALCOTT RD STE 206, WILLISTON, VT 05495-2075
(802) 944-4718
Mailing address
183 TALCOTT RD STE 206, WILLISTON, VT 05495-2075
(802) 944-4718
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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