Individual
KATHLEEN ANNE PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW.,LADC.
Contact information
Practice address
81 BELMONT AVE, BRATTLEBORO, VT 05301-6652
(802) 254-9071
Mailing address
81 BELMONT AVE, BRATTLEBORO, VT 05301-6652
(802) 579-5960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0126271
VT
1041C0700X
Clinical Social Worker
089.0085301
VT
Other
Enumeration date
10/08/2017
Last updated
10/08/2017
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