Individual
KATHY-JO MERLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4567
(802) 886-4520
Mailing address
56 MAIN ST STE 207, SPRINGFIELD, VT 05156-2945
(802) 738-8002
(802) 419-9699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000684
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1510125895
VT
101YM0800X
Mental Health Counselor
Primary
0680125284
VT
Other
Enumeration date
02/08/2016
Last updated
01/18/2024
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