person
Ms. Tisha Mesa Shull, MA
Mental Health Counselor in Burlington, Vermont
NPI 1871916726

Tisha Mesa Shull is a Mental Health Counselor based in Burlington, VT and is specialized in Mental Health. Tisha Mesa Shull practices in Burlington, VT and has the professional credentials of MA. The NPI Number for Tisha Mesa Shull is 1871916726 and holds a License No. 068.0090925 (Vermont).

The current practice location address for Tisha Mesa Shull is 262 North Ave, Burlington, VT and can be reached out via phone at 802-373-3472.

Location: 262 North Ave, Burlington, VT, 05401
person
Provider Profile Details
NPI Number
1871916726
Provider Name
Tisha Mesa Shull
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
262 North Ave, Burlington, VT, 05401
Phone Number
802-373-3472
Fax Number
Provider Enumeration Date
01/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
262 North Ave
City
State
Zip
05401-2916
Phone Number
802-373-3472
Fax Number
person
Provider Business Mailing Address Details
Address
262 North Ave
City
State
Zip
05401-2916
Phone Number
802-373-3472
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
068.0090925 (Vermont)
Definition
Definition to come...
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