| The Mentor Connector | |
|
110 Merchants Row Ste 210 Rutland VT 05701 | |
| (802) 775-3434 | |
| Not Available |
| Full Name | The Mentor Connector |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Merchants Row Ste 210, Rutland, Vermont |
| Authorized Official Name and Position | Christopher Hultquist (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8027753434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mentor Connector 110 Merchants Row Ste 210 Rutland VT 05701 Ph: (802) 775-3434 | The Mentor Connector 110 Merchants Row Ste 210 Rutland VT 05701 Ph: (802) 775-3434 |
| NPI Number | 1154083319 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154083319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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