Organization
MOUNTAIN LAKE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WALLS LCMHC (LMCHC)
(802) 989-8363
Entity
Organization
Contact information
Practice address
1188 THREE MILE BRIDGE RD, MIDDLEBURY, VT 05753-9136
(802) 989-8363
Mailing address
1188 THREE MILE BRIDGE RD, MIDDLEBURY, VT 05753-9136
(802) 989-8363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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