Individual provider · Type 1 NPI

Tracie Carlson, LCMHC

Mental Health Counselor · Burlington, VT

NPI number 1861729295 Active

Practice location

1138 Pine St
Burlington, VT 05401-5353

Call (802) 488-6600 Map

Fax (802) 488-6901

Mailing address

208 Flynn Ave, Suite 3J
Burlington, VT 05401-5429

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0680000750 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1861729295

Tracie Carlson, LCMHC's National Provider Identifier is 1861729295, issued on Nov 5, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington, VT. The record was last updated on Nov 5, 2009.