Individual
AMY YVONNE POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
364 DORSET STREET, SUITE 204, SOUTH BURLINGTON, VT 05403
(802) 658-9440
(802) 658-9443
Mailing address
364 DORSET STREET, SUITE 204, SOUTH BURLINGTON, VT 05403
(802) 658-9440
(802) 658-9443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0075195
VT
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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