Individual
CALLIE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 828-7477
Mailing address
768 OLD HOLLOW RD, NORTH FERRISBURGH, VT 05473-6010
(207) 213-3140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0136176
VT
Other
Enumeration date
06/08/2020
Last updated
09/27/2024
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