MEDICARE: CHARITY L BUGGIANI

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
2	101YA0400X	Addiction (Substance Use Disorder) Counselor		VT

General Provider Information

NPI Number	:	1689542433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARITY L BUGGIANI

Provider Business Mailing Address
First Line	:	604 SOUTH ST
Second Line	:
City	:	PROCTOR
State	:	VT
Zip	:	05765-9716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 SOUTH ST
Second Line	:
City	:	PROCTOR
State	:	VT
Zip	:	05765-9716
Country	:	US
Telephone Number	:	309-657-8021
Fax Number	:

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

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	11/03/2025

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Directions to “ CHARITY L BUGGIANI ” Practice Location

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