Individual
MS. ANGELIQUE TRYNELL SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MA, LADC
Contact information
Practice address
476 MAIN ST, WINOOSKI, VT 05404-1300
(802) 343-5499
Mailing address
537 KELLOGG RD # 2, SAINT ALBANS, VT 05478-7047
(802) 343-5499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0126464
VT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
00714
VT
Other
Enumeration date
06/29/2016
Last updated
12/18/2017
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