Individual
CHRISTINE HAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
855 PINE ST, BURLINGTON, VT 05401-4924
(802) 488-6103
Mailing address
208 FLYNN AVE, STE 3J, BURLINGTON, VT 05401-5429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151-0127779
VT
1041C0700X
Clinical Social Worker
Primary
089-0102155
VT
Other
Enumeration date
10/22/2015
Last updated
08/20/2019
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