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Organization
PATH INTEGRATED HEALTHCARE
Active
Organization
PATH INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHAL LUNT (OWNER)
(801) 560-3822
Entity
Organization
Contact information
Practice address
125 COLLEGE ST STE 300, BURLINGTON, VT 05401-8444
(513) 221-3000
(801) 206-3380
Mailing address
3012 GLENMOORE AVE, SUITE 14, CINCINNATI, OH 45238-2269
(513) 221-3000
(513) 221-2093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
05/21/2019
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