Healthcare Provider Details

I. General information

NPI: 1922961309
Provider Name (Legal Business Name): ISABELLE MIQUEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 MAIN ST
ESSEX JUNCTION VT
05452-3200
US

IV. Provider business mailing address

40 EAST ST
ESSEX JUNCTION VT
05452-3759
US

V. Phone/Fax

Practice location:
  • Phone: 802-879-6556
  • Fax:
Mailing address:
  • Phone: 802-734-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: