Individual provider · Type 1 NPI

Amanda Tanner, LCMHC

Mental Health Counselor · Burlington, VT

NPI number 1124417746 Active

Practice location

1138 Pine St
Burlington, VT 05401-5353

Call (802) 488-6600 Map

Fax (802) 488-6919

Mailing address

102 S Winooski Ave
Burlington, VT 05401-7406

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0680105341 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1124417746

Amanda Tanner, LCMHC's National Provider Identifier is 1124417746, issued on Jan 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, VT. The record was last updated on Apr 29, 2025.