Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 0680000291 | VT |
N | 103TC1900X | Counseling Psychologist | 0470000655 | VT |
NPI | 1063564193 |
---|---|
Provider Name | Ms. Sharon A Stahl |
First Address | Cabot, VT 05647-9785 |
Second Address | Montpelier, VT 05602-2896 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1005898 | (05) | VT |