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Individual

MS. KIM HOLTAN LANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LCMHC

Contact information

Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680050790
VT

Other

Enumeration date
06/10/2009
Last updated
06/10/2009
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