Individual
NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 863-1326
Mailing address
168 BATTERY ST, BURLINGTON, VT 05401-5285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000649
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011516
—
VT
Enumeration date
02/15/2007
Last updated
07/08/2007
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