Individual
KATINA IDOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
72 HARREL ST, MORRISVILLE, VT 05661-8526
(802) 888-5026
Mailing address
72 HARREL ST, MORRISVILLE, VT 05661-8526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7855
MA
Other
Enumeration date
12/03/2015
Last updated
09/15/2016
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