Healthcare Provider Details

I. General information

NPI: 1508970146
Provider Name (Legal Business Name): TOMOKO KUNITA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S PARK DR #2
COLCHESTER VT
05446-5972
US

IV. Provider business mailing address

5 SANDALWOOD DR
SOUTH BURLINGTON VT
05403-7828
US

V. Phone/Fax

Practice location:
  • Phone: 802-264-5333
  • Fax: 802-264-5338
Mailing address:
  • Phone: 802-264-5333
  • Fax: 802-264-5338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number100-0000037
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number38269
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: