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Individual

KRISTA JEANETTE BOLOGNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
290 LOWER MAIN ST W, JOHNSON, VT 05656-9631
(802) 585-4617
Mailing address
6 SUNSET DR, JOHNSON, VT 05656-8200
(802) 585-4617

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0135395
VT

Other

Enumeration date
12/05/2025
Last updated
12/05/2025
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