Individual
MRS. CORTNEY AMBER DONOHUE SLOBODNJAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
14 MAIN ST., CHESTER, VT 05143
(802) 558-1989
Mailing address
PO BOX 346, CHESTER, VT 05143-0346
(802) 558-1989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0112799
VT
101YP2500X
Professional Counselor
068.0112799
VT
101YS0200X
School Counselor
068.0112799
VT
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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