Individual
MARILYN J NASUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
157 TOWNE AVE., PLAINFIELD, VT 05667-0320
(802) 454-8336
(802) 454-8339
Mailing address
PO BOX 320, PLAINFIELD, VT 05667-0320
(802) 454-8336
(802) 454-8339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000343
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068-0000343
LICENSE
VT
Enumeration date
08/19/2009
Last updated
08/19/2009
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