MEDICARE: MR. STEVEN L LIBROT LCMHC

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
1	101YM0800X	Mental Health Counselor	933	NH
2	101YM0800X	Mental Health Counselor	068.0057651	VT

Other Identifiers

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

General Provider Information

NPI Number	:	1518267228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN L LIBROT LCMHC

Provider Business Mailing Address
First Line	:	PO BOX 1258
Second Line	:
City	:	NORWICH
State	:	VT
Zip	:	05055-1258
Country	:	US
Telephone Number	:	603-252-2235
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 OPERA HOUSE SQ
Second Line	:	BOX 18
City	:	CLAREMONT
State	:	NH
Zip	:	03743-5408
Country	:	US
Telephone Number	:	603-252-2235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2010
Last Update Date	:	12/04/2014

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