Organization
DISTANCETHERAPY.COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RUTH MARTIN LCMHC (MENTAL HEALTH COUNSELOR)
(802) 448-3954
Entity
Organization
Contact information
Practice address
130 MANSFIELD AVE APT 201, BURLINGTON, VT 05401-3396
(802) 448-3954
Mailing address
130 MANSFIELD AVE APT 201, BURLINGTON, VT 05401-3396
(802) 448-3954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0102645
VT
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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