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Individual

MS. BARBARA JEAN BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCMHC

Contact information

Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000443
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007162
VT
Enumeration date
10/03/2005
Last updated
04/15/2015
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