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General NPI Number Information
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NPI Number | 1114821444
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Entity Type | Organization
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Legal Business Name | GREEN LIGHT COUNSELING
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 110 MAIN ST STE 3A
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City | BURLINGTON
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State | VT
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Zip | 05401-8439
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Country | US
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Telephone | 802-540-0222
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Fax | 844-206-0262
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Provider Business Mailing Address
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Address Line | 110 MAIN ST STE 3A
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City | BURLINGTON
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State | VT
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Zip | 05401-8439
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Country | US
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Telephone | 802-540-0222
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Fax | 844-206-0262
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. BENJAMIN HOUCHEN
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Credential | LCMHC
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Telephone | 802-540-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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