Individual
AMY S POLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-5256
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0125759
VT
101YM0800X
Mental Health Counselor
012281
NY
101YM0800X
Mental Health Counselor
Primary
068.0069363
VT
Other
Enumeration date
04/19/2012
Last updated
12/02/2025
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