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Individual

MS. DEBORAH T PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LADC LCMHC

Contact information

Practice address
172 FAIRFIELD ST, ST ALBANS, VT 05478
(802) 488-6265
(802) 488-6919
Mailing address
208 FLYNN AVE, 3-J, BURLINGTON, VT 05401-5429
(802) 488-6900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000352
VT
101YM0800X
Mental Health Counselor
0680000679
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013084
VT
Enumeration date
07/07/2006
Last updated
05/13/2011
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