Organization
CHAMPLAIN CENTER FOR PLAY THERAPY AND FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN NAGAO MARCOTTE LICSW (CO-OWNER)
(802) 222-6247
Entity
Organization
Contact information
Practice address
300 CORNERSTONE DR STE 320, WILLISTON, VT 05495-4012
(802) 222-6247
Mailing address
145 PINE HAVEN SHORES RD STE 100A, SHELBURNE, VT 05482-7703
(802) 222-6247
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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