Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 097-0001188 | VT |
NPI | 1003008020 |
---|---|
Provider Name | Ms. Cheryl Santacaterina |
First Address | St Johnsbury, VT 05819-2642 |
Second Address | St Johnsbury, VT 05819-2642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 14/08/2007 |