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Individual

STACEY SUBIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
160 BENMONT AVE STE 20, BENNINGTON, VT 05201-1842
(802) 440-1238
Mailing address
160 BENMONT AVE STE 20, BENNINGTON, VT 05201-1842
(802) 440-1238

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
100-0098836
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023076
VT
Enumeration date
06/12/2008
Last updated
07/29/2025
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