Our Team


group photo 2017


(photo credit: The Valley Voice)

Our Clinical Team

Medical Clinicians(see below for bios)

Other Wrap-Around Services

  • Nicole Grubman, LMHC
  • Samara Coble – Social worker to connect patients with community resources.

Behavioral Health

Clinical Support Staff

  • Miranda Berry, MA
  • Cathleen Bruni-Forand, RN
  • Barb Leggett, LPN
  • Danielle Berry, LPN
  • Nicole Grassano, LPN
  • Jordan Racine, RN
  • Kelly O’Keefe, MA
  • Michele Caballero, MA
  • Wendy Giard, RN
  • Elesha Larrow, MA

Medical Front Desk Staff

  • Starr Bouvier
  • Victoria Larocque
  • Karen Ferlito
  • Hilary Austin
  • Courtney Trudeau
  • Rebecca Raymond
  • Sarah Hamilton

Dental Providers

  • Dr. Shalin Patel, D.M.D. – Dental Director

Dental Support Staff

  • Emma Budine, R.D.H.
  • Chasity DeMers, R.D.H.
  • Kaylee LeCompte, R.D.H
  • Louise Brynn, C.D.A.
  • Monique Simpson, C.D.A.

Dental Front Desk Staff

  • Amanda Scaggs
  • Ariana Ducharme

Executive Team

  • Chief Executive Officer: Martha Halnon, CPC, CAPPM, CMPE
  • Chief Financial Officer: Greg Macdonald

Administrative Staff

  • Operations Manager: Debra Hutchins
  • Nurse Manager: Marion Atocha, RN
  • IT Manager: David McClellan
  • Quality Manager: Kielee Pelland, APRN, FNP
  • Administrative Assistant: Laura Brace
  • Cheryl Grace – Scanning Clerk

Billing Staff

  • Tina Patterson
  • Lori Slicer
  • Tina Cota

Mountain Health Clinician Bios

Brian Bates, MD – Brian grew up in Maryland and first ventured to New England for undergraduate studies at Dartmouth. He went to medical school at the University of Maryland and then completed his family medicine residency at Boston Medical Center where he continued to work as a teaching physician. He practices full-spectrum primary care for children and adults. He also provides medication-assisted treatment for substance use disorders with Suboxone. Outside of work, Brian enjoys spending time with his wife and two daughters, outdoors activities, beekeeping, gardening, and playing music.


Suzanne Germain image

Suzanne Germain, ANP – Suzanne is one of the original founders of MHC with her husband Dr. Ed Clark, which started in 1986. She has lived in VT since age 11 (so not quite a native Vermonter). Suzanne graduated from UVM nursing school with an AD in 1976 and a BSN in 1985, and then became a Women’s Health Nurse Practitioner. She just recently completed her master’s in 2013 as an Adult Nurse Practitioner. Her work as an NP has taken her all over the world volunteering in Mexico, Nicaragua, Honduras, Peru, Dominican Republic, Haiti, Ethiopia, and locally at the Open Door Clinic. In addition, Suzanne speaks fluent Spanish and French.



Kate LaMancuso, MD – Kate is originally from western New York. She took the long path to medicine, via undergraduate studies in literary arts and Italian studies at Brown University. She completed her post-baccalaureate premedical studies in Buffalo. There, she fell in love with family medicine and its power for individual and community transformation while working as a medical case manager at a refugee service agency. She completed medical school and a family medicine residency at Brown University, where she pursued clinical and research interests in women’s health, global health, and health care for vulnerable populations. Kate is eager to participate in the Addison County community through her work at Mountain Health Center. She enjoys hiking, traveling, reading, yoga, Green Mountain culinary adventures, and spending time with family and friends.


Tonya Howard, FNP – is doing acute care one or two days a week at MHC. She has been involved at many levels and in different roles in the community health center world in Vermont. She lives in Underhill, has 2 cats and a big farmhouse and barn she has been “bringing back to life”, and enjoys having guests, retreats, and gatherings there. She always has an audiobook queued up for the commute. She graduated from Yale University School of Nursing with her Master’s too many years ago to admit and continues to love learning, traveling, swing dancing, hiking, singing, eating and cooking good food, and cherishes time with her diverse group of friends.


Amy Kittredge, LADC/LCMHC– Amy is a Licensed Alcohol and Drug Counselor and a Licensed Clinical Mental Health Counselor. Amy graduated from Southern New Hampshire University with a Master of Science in Clinical Mental Health Counseling in 2012 and has been a therapist in the field of Mental Health and Substance Use Disorders since 2010.  Amy was born and raised in Addison County and is excited about the opportunity to work at Mountain Health Center to give back to a community that has given her so much. Currently, she lives in Addison with her husband Nate and their 3 children. She enjoys hiking, swimming, camping, and spending time with her family and friends.


Charlie Biss – Charlie grew up in New York and received his MSW at The State University at Albany. He worked as a clinician and program developer with children, adults, and families at various community agencies in New York and Vermont. For thirty years, Charlie was the Director of Children Mental health Services for the Vermont Department of Mental Health. Charlie has enjoyed working as a Mental Health Clinician at Mountain Health Center since his retirement from the state. Outside of work, Charlie and his wife Lynn enjoy their 4 adult children, travel, and most outdoor activities.


Will Porter, MD – Will Porter joined Mountain Health in May 2019, as a staff physician providing addiction treatment services in Bristol and Middlebury. He had been doing this same work in Addison County for the past five years. Will graduated from  Middlebury College in 1984 with a degree in English Literature. He attended medical school at Brown University. After completing family medicine residency training and doing ER work in California for ten years, he moved back to Vermont in 1999. He has provided medical care in this community as an ER, family medicine and palliative care/hospice doc but found his ‘calling’ in the substance use treatment. He lives in Shoreham and loves being a dad, skiing, biking, music, and reading.


Kielee Pelland, APRN, FNP – Accepting NEW patients. Kielee is a board-certified family nurse practitioner. She graduated with her Doctore’s degree from Frontier Nursing University in 2019. She grew up right in Bristol and prior to becoming a nurse practitioner she worked as a registered nurse for 9 years in multiple settings.  As a family nurse practitioner, she provides care to all ages and is excited to see the whole family and care for her beloved community. Kielee is also the Quality Manager at MHC where she feels fortunate to support a very committed practice in maintaining comprehensive, evidence-based care. In her free time, she enjoys doing anything family-centered. She is married with three children, a bunch of dogs, and other animals. Top on her list for fun are gardening, cooking, spinning, camping, and horseback riding.


Shalin Patel, D.M.D – Shalin grew up in beautiful Western Massachusetts and went to the University of Massachusetts Amherst for his undergraduate studies. He received his D.M.D degree from the University of Connecticut School of Dental Medicine. During his time here, he participated in various volunteering programs in the community and since reinforced the idea of compassionate dentistry. Since graduating from dental school, he completed a one-year General Practice Residency Program at Danbury Hospital in Danbury, CT. Here, he learned more rigorous medical and dental training to serve medically complex patients.

Afterward, he practiced dentistry in a community health center setting in Connecticut for two years. He strongly believes in maintaining great dental skills, which is why he keeps current with the latest dental literature and advancements. In his free time, he loves to cook, read, and spend time outdoors with his fiancé.


Jennifer Wisdom-Behounek, MD – Dr. Wisdom-Behounek grew up in a rural community in Illinois and attended the University of Illinois for medical school, where she had additional specific training in rural medicine.  Residency took her to Columbia, Missouri, where she completed her Family Medicine residency at the University of Missouri.  She has worked in private practice, and in academic medicine teaching medical students in addition to clinical care.  She has additional training and a specialized interest in Lifestyle and Nutritional Medicine to prevent and reverse disease where possible. She loves to travel, recreating outdoors, and writing about the research illustrating nature’s positive impact on human health.


David Turner, MD – David has practiced in Family Medicine and Women’s Health for over 25 years, the last 13 locally in Vermont.  He enjoys working with patients to improve their overall wellness and believes his role is to listen to and help patients make informed decisions about their health.  He graduated from the Dartmouth/Brown Program in Medicine, Tacoma Family Medicine Residency and Rural Fellowship, and Dartmouth/Hitchcock OB/GYN Residency.  He enjoys coaching soccer, hiking, cross country skiing, and spending time with his wife Laura Weylman MD, and their family.


Caroline Butler, NP – Caroline Butler is a nurse practitioner who is working at Mountain Health Center with MAT patients. She will be with us to cover for Dr. Porter through the summer. Caroline graduated with her BSN from Norwich University in 2009 and has worked in labor and delivery, resource pool, general medicine, and in nursing management until she went back to school for her MSN, NP degree in 2016. She found her passion for working with individuals with substance use disorders in her early days of working as a nurse and has focused on this in her current practice. She has worked as a Nurse Practitioner in women’s health and MAT programs across the state of Vermont and she is also active in the Vermont Recovery Community in varying roles. She loves CrossFit, spending time with her family, being outdoors, gardening, and spends every spare moment at her camp in Jay, VT.