Healthcare Provider Details

I. General information

NPI: 1710317151
Provider Name (Legal Business Name): ARIEL CAHN-FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2013
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2458 CHRISTIAN ST SUITE 202
WHITE RIVER JUNCTION VT
05001-9855
US

IV. Provider business mailing address

PO BOX 882
WILDER VT
05088-0882
US

V. Phone/Fax

Practice location:
  • Phone: 802-299-7895
  • Fax:
Mailing address:
  • Phone: 802-299-7895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089.0091629
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: