Individual
KATHLEEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
65 N MAIN ST STE 3, RUTLAND, VT 05701-3252
(802) 772-7787
Mailing address
65 N MAIN ST STE 3, RUTLAND, VT 05701-3252
(802) 772-7787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000270
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029296
BCBS
VT
05
—
1007271
—
VT
Enumeration date
10/18/2006
Last updated
04/08/2021
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