Individual
SUSAN B OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
855 PINE ST, BURLINGTON, VT 05401-4924
(802) 865-6123
Mailing address
204 N WINOOSKI AVE, BURLINGTON, VT 05401-3618
(802) 355-5122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000548
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008091
—
VT
Enumeration date
07/01/2006
Last updated
07/08/2007
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