Individual
NICOLE ST LOUIS
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) 488-6919
Mailing address
208 FLYNN AVE, 3J, BURLINGTON, VT 05401-5429
(802) 488-6920
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000688
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105552
—
VT
Enumeration date
02/22/2007
Last updated
05/18/2011
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