Individual
TORY E STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC, PMH-C
Contact information
Practice address
151 WOODCREST CIR, MILTON, VT 05468-3708
(802) 318-6443
Mailing address
PO BOX 539, MILTON, VT 05468-0539
(802) 318-6443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
068.0134297
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
151-0134079
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6706333
—
VT
Enumeration date
10/02/2019
Last updated
08/22/2022
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