Provider Demographics
NPI:1790479715
Name:BERSTENE, CELESTE (LCMHC)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:BERSTENE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 AUTUMN POND WAY UNIT 106
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4076
Mailing Address - Country:US
Mailing Address - Phone:802-345-8540
Mailing Address - Fax:
Practice Address - Street 1:56 W TWIN OAKS TER STE 3
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7138
Practice Address - Country:US
Practice Address - Phone:802-735-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0135286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health