Organization
SPROUT SUPPORTIVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GIUMARRA LICSW (CLINICIAN)
(802) 391-9514
Entity
Organization
Contact information
Practice address
337 COLLEGE ST STE 302, BURLINGTON, VT 05401-8344
(802) 391-9514
Mailing address
PO BOX 101, WINOOSKI, VT 05404-0101
(802) 391-9514
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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