Individual
KATHLEEN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1188 THREE MILE BRIDGE RD, MIDDLEBURY, VT 05753-9136
(802) 989-8363
Mailing address
1188 THREE MILE BRIDGE RD, MIDDLEBURY, VT 05753-9136
(802) 989-8363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134984
VT
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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