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1356413959
MICHAEL BUSTAMANTES
BURLINGTON, VT
NPI
1356413959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068-0000707)
Enumeration Date
2006-11-15
Last Update Date
2007-08-06
Business Address
-- MICHAEL BUSTAMANTES MS, NCC, LCMHC
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
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Mailing Address
-- MICHAEL BUSTAMANTES MS, NCC, LCMHC
441 B MAPLE STREET
BURLINGTON, VT 05401
Phone number:
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