Individual
JULIE ELIZABETH DAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 OLD FARM RD, STOWE, VT 05672-4434
(802) 585-0071
Mailing address
1646 LAPLAND RD, WATERVILLE, VT 05492-9768
(802) 644-5147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134167
VT
101YM0800X
Mental Health Counselor
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097.0134167
STATE OF VERMONT ALLIED MENTAL HEALTH PRACTIONERS
VT
Enumeration date
02/18/2019
Last updated
02/18/2019
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