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Ms. Diane M Tetrault, MALCMHC
Mental Health Counselor in Montpelier, Vermont
NPI 1861533119

Diane M Tetrault is a Mental Health Counselor based in Montpelier, VT and is specialized in Mental Health. Diane M Tetrault practices in Montpelier, VT and has the professional credentials of MALCMHC. The NPI Number for Diane M Tetrault is 1861533119 and holds a License No. 0680000627 (Vermont).

The current practice location address for Diane M Tetrault is 138 Main St, Montpelier, VT and can be reached out via phone at 802-229-1643 and via fax at 802-229-1643.

Location: 138 Main St, Montpelier, VT, 05602
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Provider Profile Details
NPI Number
1861533119
Provider Name
Diane M Tetrault
Credential
MALCMHC
Provider Entity Type
Individual
Gender
Female
Address
138 Main St, Montpelier, VT, 05602
Phone Number
802-229-1643
Fax Number
802-229-1643
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00068835 01 VT BCBS MAGELEN
389311 01 MVP
581232 01 GREAT WEST VALUE OPTIONS
2316710 01 VT CIGNA BEHAVIORAL H
1011810 05 VT
institution
Provider Business Practice Location Address Details
Address
138 Main St
City
State
Zip
05602
Phone Number
802-229-1643
Fax Number
802-229-1643
person
Provider Business Mailing Address Details
Address
138 Main St
City
State
Zip
05602
Phone Number
802-229-1643
Fax Number
802-229-1643
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0680000627 (Vermont)
Definition
Definition to come...
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