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NPI 1679369458

NPI 1679369458 : ERIN KOLLE : BURLINGTON, VT

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General NPI Number Information
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    NPI Number           |    1679369458
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN KOLLE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/17/2025
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    1 MILL ST STE 214 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05401-1531
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    Country              |    US
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    Telephone            |    301-525-5526
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    43 CEDAR ST APT 1 
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    City                 |    BURLINGTON
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    State                |    VT
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    Zip                  |    05401-4226
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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 |    
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