Individual
SANDY HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LADC
Contact information
Practice address
172 FAIRFIELD ST, SAINT ALBANS, VT 05478-1743
(802) 488-6265
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000098
VT
Other
Enumeration date
10/13/2006
Last updated
02/06/2014
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