Individual
CATHERINE ANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
692 ELM ST, DERBY LINE, VT 05830-8730
(802) 673-8430
Mailing address
692 ELM ST, DERBY LINE, VT 05830-8730
(802) 673-8430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0136420
VT
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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