Provider Demographics
NPI:1699255398
Name:KUCHTA, KATY (MASTERS)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:KUCHTA
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 KITTREDGE RD
Mailing Address - Street 2:
Mailing Address - City:BARTON
Mailing Address - State:VT
Mailing Address - Zip Code:05822-9587
Mailing Address - Country:US
Mailing Address - Phone:802-535-4422
Mailing Address - Fax:802-525-4299
Practice Address - Street 1:227 KITTREDGE RD
Practice Address - Street 2:
Practice Address - City:BARTON
Practice Address - State:VT
Practice Address - Zip Code:05822-9587
Practice Address - Country:US
Practice Address - Phone:802-535-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0130405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health