Organization
INTEGRATIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MARON WALKER MA, LCMHC (PYSCHOTHERAPIST)
(802) 793-6655
Entity
Organization
Contact information
Practice address
28 HOWARD ST STE 206, BURLINGTON, VT 05401-5983
(802) 793-6655
Mailing address
28 HOWARD ST STE 206, BURLINGTON, VT 05401-5983
(802) 793-6655
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025272
—
VT
Enumeration date
12/07/2022
Last updated
12/07/2022
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