Individual
CAROLYN CROTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR, LCMHC
Contact information
Practice address
200 MAIN ST STE 14, BURLINGTON, VT 05401-8350
(781) 771-6119
Mailing address
62 CATHERINE ST, BURLINGTON, VT 05401-4839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0970081292
VT
101YM0800X
Mental Health Counselor
Primary
068.0117129
VT
101YM0800X
Mental Health Counselor
8954
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029432
—
VT
Enumeration date
08/20/2015
Last updated
04/24/2019
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