Organization
GREEN MOUNTAIN AID, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA REINCKE PSYD (CLINICAL DIRECTOR)
(802) 735-7934
Entity
Organization
Contact information
Practice address
86 SAINT PAUL ST STE 311, BURLINGTON, VT 05401-4958
(802) 753-7934
Mailing address
86 SAINT PAUL ST STE 311, BURLINGTON, VT 05401-4958
(802) 753-7934
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6709932
—
VT
Enumeration date
08/03/2022
Last updated
08/03/2022
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