Individual
HATA PASIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 N MAIN ST STE 1, SAINT ALBANS, VT 05478-8501
(802) 524-0305
Mailing address
156 N MAIN ST STE 1, SAINT ALBANS, VT 05478-8501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
068.0116762
VT
Other
Enumeration date
11/09/2015
Last updated
09/24/2018
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