Individual
NATHAN LACROIX FOSDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 COLLEGE ST STE 204A, BURLINGTON, VT 05401-8476
(802) 231-3234
Mailing address
148 COLLEGE ST STE 204, BURLINGTON, VT 05401-8476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
10/01/2023
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