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Individual

MS. LAUREN GAIL BERRIZBEITIA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
L.C.M.H.C.

Contact information

Practice address
431 PINE ST, SUITE 204, BURLINGTON, VT 05401-4726
(802) 862-6931
Mailing address
2453 NOTCH RD, JERICHO, VT 05465-9566
(802) 434-5462

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000658
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10-11278
VT
Enumeration date
05/22/2006
Last updated
07/09/2007
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