Individual
LAURA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
789 PINE ST, BURLINGTON, VT 05401-4924
(802) 864-0693
(802) 860-4324
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0134073
VT
101YM0800X
Mental Health Counselor
Primary
068.0134111
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034024
—
VT
Enumeration date
08/21/2018
Last updated
10/16/2024
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