| The Connected Self, Llc | |
|
595 Dorset St Ste 7 South Burlington VT 05403-6240 | |
| (978) 852-9093 | |
| Not Available |
| Full Name | The Connected Self, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 595 Dorset St Ste 7, South Burlington, Vermont |
| Authorized Official Name and Position | Kristin Quill (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9788529093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Connected Self, Llc 595 Dorset St Ste 7 South Burlington VT 05403-6240 Ph: (978) 852-9093 | The Connected Self, Llc 595 Dorset St Ste 7 South Burlington VT 05403-6240 Ph: (978) 852-9093 |
| NPI Number | 1760188627 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760188627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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