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Individual

MS. CYNTHIA LYNN MARBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LCMHC, LADC

Contact information

Practice address
300 MAPLE ST STE 201, BRATTLEBORO, VT 05301-6512
(802) 257-2415
(802) 251-0030
Mailing address
99 WAYLAND AVE STE 100, PROVIDENCE, RI 02906-4314
(802) 257-2415
(802) 251-0030

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0126994
VT
101YM0800X
Mental Health Counselor
Primary
068.0000733
VT

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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