Individual
KATRINA M. WHYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
141 ETTA FRASIER DR, WINDSOR, VT 05089-1315
(802) 674-9400
Mailing address
141 ETTA FRASIER DR, WINDSOR, VT 05089-1315
(802) 674-9400
(802) 674-9410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151-0130732
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0130732
VT
101YM0800X
Mental Health Counselor
068.0134108
VT
Other
Enumeration date
10/19/2017
Last updated
06/11/2020
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