Individual
ALICE S. KITCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCMHC
Contact information
Practice address
1194 MAIN ST, ST JOHNSBURY, VT 05819-2773
(802) 748-5029
(802) 748-5029
Mailing address
1194 MAIN ST, P O BOX 4224, ST JOHNSBURY, VT 05819-2773
(802) 748-5029
(802) 748-5029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000133
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068-0000133
LICENSED MENTAL HEALTH CO
VT
05
—
1008285
—
VT
01
—
88-110
ART THERAPY REGISTRATION
VT
Enumeration date
07/16/2006
Last updated
07/08/2007
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