Individual
EBONY COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 PORTLAND ST, SAINT JOHNSBURY, VT 05819-8635
(802) 748-3181
(802) 334-7340
Mailing address
2225 PORTLAND ST, SAINT JOHNSBURY, VT 05819-8635
(802) 748-3181
(802) 334-7340
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VT
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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