Healthcare Provider Details

I. General information

NPI: 1336793132
Provider Name (Legal Business Name): KATHERINE J. BRIAND MA LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 MAIN ST # EH-4
NORWICH VT
05055-4428
US

IV. Provider business mailing address

46 UNION ST
WINDSOR VT
05089-1511
US

V. Phone/Fax

Practice location:
  • Phone: 802-234-1532
  • Fax:
Mailing address:
  • Phone: 802-234-1532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0134453
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number097.0134540
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: