MEDICARE: MICHELE MUNSON REED MSW

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	089-0000060	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	61771	OTHER	VT	MVP HEALTH PLAN
3	5089	OTHER	VT	BCBS OF VT.

General Provider Information

NPI Number	:	1700829397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE MUNSON REED MSW

Provider Business Mailing Address
First Line	:	93 S MAIN ST
Second Line	:
City	:	WATERBURY
State	:	VT
Zip	:	05676-1547
Country	:	US
Telephone Number	:	802-144-1748
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 S MAIN ST
Second Line	:
City	:	WATERBURY
State	:	VT
Zip	:	05676-1547
Country	:	US
Telephone Number	:	802-144-1748
Fax Number	:

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/08/2007

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