IndividualActive
Amanda Tanner, LCMHC
NPI 1124417746 · Mental Health Counselor · Burlington, VT
Provider details
- NPI number
- 1124417746
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- No
- License
- 0680105341 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1138 Pine St
Burlington, VT 05401-5353
Phone: (802) 488-6600
Fax: (802) 488-6919
Approximate (ZIP-level) locationGet directions
Mailing address
102 S Winooski Ave
Burlington, VT 05401-7406
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.