Individual
MARY ELLEN BUTTITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
102 S WINOOSKI AVE, BURLINGTON, VT 05401-3830
(802) 658-1914
(802) 660-3665
Mailing address
102 S WINOOSKI AVE, BURLINGTON, VT 05401-3830
(802) 658-1914
(802) 660-3665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000168
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007077
—
VT
Enumeration date
01/02/2007
Last updated
07/08/2007
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