Individual
MRS. MALLORIE MAE KUTZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
67 FAIRFIELD ST # 9, SAINT ALBANS, VT 05478-1796
(802) 310-0342
Mailing address
67 FAIRFIELD ST # 9, SAINT ALBANS, VT 05478-1796
(802) 310-0342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134442
VT
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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