Individual
ALLYSON ANN BATHALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 TAYLOR ST STE 1, NEWPORT, VT 05855-4881
(802) 673-8733
Mailing address
15 TAYLOR ST STE 1, NEWPORT, VT 05855-4881
(802) 673-8733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
097.0136225
VT
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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