Individual
KIMBERLY P WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
63 MAPLE ST, SUITE 8B, MIDDLEBURY, VT 05753
(802) 382-0820
Mailing address
5607 WEYBRIDGE RD, WEYBRIDGE, VT 05753
(802) 545-2877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0135839
VT
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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