Active NPIIndividual provider

Kristen Breault-Bolio, MS, LCMHC, LADC

Counselor, Mental Health in Burlington, Vermont

NPI Number1962870758
Practice location
31 Elmwood Ave, Burlington, VT 05401-4347
Fax
802-660-0576
Last updated
July 22, 2023

Kristen Breault-Bolio is a Counselor, Mental Health based in Burlington, VT. Kristen Breault-Bolio practices in Burlington, VT and has the professional credentials of MS, LCMHC, LADC. The NPI Number for Kristen Breault-Bolio is 1962870758 and holds a License No. 151.0127541 (VT). The current practice location address for Kristen Breault-Bolio is 31 Elmwood Ave, Burlington, VT 05401-4347 and can be reached out via phone at 802-864-7423 and via fax at 802-660-0576.

Provider Profile Details

NPI Number
1962870758
Provider Name
Kristen Breault-Bolio
Credential
MS, LCMHC, LADC
Provider Entity Type
Individual
Gender
Female
Address
31 Elmwood Ave, Burlington, VT 05401-4347
Phone Number
802-864-7423
Fax Number
802-660-0576
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2015
Last Update Date
July 22, 2023
Certification Date
July 22, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Elmwood Ave
Burlington, VT 05401-4347
State
Vermont
Zip
05401-4347
Phone Number
802-864-7423
Fax Number
802-660-0576
Burlington, VT 05401Get directions →

Provider Business Mailing Address Details

Address
183 Talcott RD Ste 206
Williston, VT 05495-2075
City
Williston
State
VT
Zip
05495-2075
Phone Number
802-944-4718

License Information

License Number (1)
151.0127541
License State (1)
VT
License Number (2)
068.0111093
License State (2)
VT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Breault-Bolio, MS, LCMHC, LADC?

The NPI number of Kristen Breault-Bolio, MS, LCMHC, LADC is 1962870758. It was assigned on September 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Kristen Breault-Bolio, MS, LCMHC, LADC?

Kristen Breault-Bolio, MS, LCMHC, LADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 151.0127541.

Where does Kristen Breault-Bolio, MS, LCMHC, LADC practice?

The practice location is 31 Elmwood Ave, Burlington, VT 05401-4347. The office can be reached at 802-864-7423 (phone) or 802-660-0576 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962870758 directly on the NPPES registry website.

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