Individual
TRACIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6600
(802) 488-6901
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429
(802) 488-6900
(802) 488-6901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000750
VT
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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