Individual
HOLLY DALE HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
148 COLLEGE STREET, SUITE 303, BURLINGTON, VT 05401
(802) 861-2318
Mailing address
39 CUMBERLAND RD, BURLINGTON, VT 05408-2466
(802) 658-6786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
089-0000942
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009457
—
VT
Enumeration date
11/29/2007
Last updated
04/14/2010
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