Individual
CAMILLE MYOKO BOTTICELLI-POHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05001-7005
(802) 295-9363
Mailing address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05001-7005
(802) 295-9363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810009200
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
02/24/2026
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