Organization
BENNINGTON BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN THUNBERG LICSW (OWNER)
(203) 570-8778
Entity
Organization
Contact information
Practice address
326 ELM ST, BENNINGTON, VT 05201-2211
(203) 570-8778
Mailing address
326 ELM ST, BENNINGTON, VT 05201-2211
(203) 570-8778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0111990
VT
Other
Enumeration date
01/03/2017
Last updated
01/02/2018
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