Individual
NICOLE BUILTA-PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Mailing address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-6562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0124825
VT
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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