Individual provider · Type 1 NPI

Amber Banta, LCMHC

Mental Health Counselor · Burlington, VT

NPI number 1407563810 Active

Practice location

125 Saint Paul St Ste 106
Burlington, VT 05401-8686

Call (802) 276-1030 Map

Mailing address

105 Depot St Unit 1034
Stowe, VT 05672-7442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X068.0134865 (VT)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1407563810

Amber Banta, LCMHC's National Provider Identifier is 1407563810, issued on Nov 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, VT. The record was last updated on Sep 25, 2023.