Individual
VICTORIA E COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
855 PINE ST, BURLINGTON, VT 05401-4924
(802) 862-6459
Mailing address
142 CREEKSIDE DR, SHELBURNE, VT 05482-7567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000049
VT
1041C0700X
Clinical Social Worker
089-0000104
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1400
—
VT
Enumeration date
07/01/2006
Last updated
09/11/2025
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