Individual
MRS. SANDRA JANE HASELDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.M.H.C
Contact information
Practice address
133 BLAKELY RD, SUITE 14, COLCHESTER, VT 05446-4007
(802) 735-3061
Mailing address
179 HARDSCRABBLE RD, MILTON, VT 05468-3153
(802) 735-3061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0680000655
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010857
—
VT
01
—
12065721
QAQH
VT
Enumeration date
07/20/2008
Last updated
01/24/2011
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