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NPI Code Detail

MEDICARE: COUNSELING SERVICE OF ADDISON COUNTY

MEDICARE: COUNSELING SERVICE OF ADDISON COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356700819
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING SERVICE OF ADDISON COUNTY
Provider Business Mailing Address
First Line : 89 MAIN ST
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-1459
Country : US
Telephone Number : 802-388-6751
Fax Number : 802-388-3108
Provider Business Practice Location Address
First Line : 67 CATAMOUNT PARK
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-1397
Country : US
Telephone Number : 802-388-8188
Fax Number : 802-388-8183
Authorized Official
Title or Position : CLIENT HEALTH/BILLING MGR
Name : MS. EMILY A VANDEWEERT
Credential :
Telephone Number : 802-388-6751
Provider Enumeration Date : 02/12/2016
Last Update Date : 02/12/2016

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Directions to “COUNSELING SERVICE OF ADDISON COUNTY ” Practice Location

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