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1407563810
AMBER BANTA
BURLINGTON, VT
NPI
1407563810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 068.0134865)
Enumeration Date
2022-11-04
Last Update Date
2023-09-25
Business Address
AMBER BANTA LCMHC
125 SAINT PAUL ST STE 106
BURLINGTON, VT 05401-8686
Phone number: 802-276-1030
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Mailing Address
AMBER BANTA LCMHC
105 DEPOT ST UNIT 1034
STOWE, VT 05672-7442
Phone number: 802-276-1030
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