Individual provider · Type 1 NPI
Diane M. Tetrault, MA LCMHC
Mental Health Counselor · Montpelier, VT
NPI number
1861533119
Active
Practice location
138 Main St
Montpelier, VT 05602
Fax (802) 229-1643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0680000627 (VT) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1861533119
Diane M. Tetrault, MA LCMHC's National Provider Identifier is 1861533119, issued on Feb 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Montpelier, VT. The record was last updated on Jul 8, 2007.