Individual
MARY KATHRYN STATTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BA
Contact information
Practice address
110 CHERRY ST, SUITE 1-3B, BURLINGTON, VT 05401-3938
(802) 999-8105
Mailing address
SUITE 110-1-3B CHERRY STREET, BURLINGTON, VT 05401
(802) 999-8105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0001240
VT
Other
Enumeration date
10/03/2016
Last updated
11/02/2016
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