Individual
KRISTEN BREAULT-BOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, LADC
Contact information
Practice address
31 ELMWOOD AVE, BURLINGTON, VT 05401-4347
(802) 864-7423
(802) 660-0576
Mailing address
183 TALCOTT RD STE 206, WILLISTON, VT 05495-2075
(802) 944-4718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0127541
VT
101YM0800X
Mental Health Counselor
Primary
068.0111093
VT
Other
Enumeration date
09/10/2015
Last updated
07/22/2023
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