Individual
MRS. NICOLE R KROTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
65 S MAIN ST, WATERBURY, VT 05676-1550
(802) 496-5332
(802) 496-5332
Mailing address
1818 LINCOLN GAP RD, WARREN, VT 05674-9479
(802) 496-5332
(802) 496-5332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000675
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069081
BC/BS OF VT
VT
05
—
1012235
—
VT
01
—
2132455
CIGNA
VT
01
—
372833
TRICARE
VT
Enumeration date
07/20/2006
Last updated
07/09/2007
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