Individual
KRISTINE KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
530 BUMPS RD, WEST BURKE, VT 05871-4413
(802) 467-3490
Mailing address
530 BUMPS RD, WEST BURKE, VT 05871-4413
(802) 467-3490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0083052
VT
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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