Healthcare Provider Details

I. General information

NPI: 1376762583
Provider Name (Legal Business Name): CLAIRE E LEMESSURIER LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 PARK ST
SPRINGFIELD VT
05156-3028
US

IV. Provider business mailing address

1 HOSPITAL CT SUITE 410
BELLOWS FALLS VT
05101-1489
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-6060
  • Fax: 802-885-4857
Mailing address:
  • Phone: 802-463-3294
  • Fax: 802-463-1206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number068-0000565
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: