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General NPI Number Information
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NPI Number | 1942420351
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Entity Type | Individual
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Provider Name | JULIE A GUERETTE MS LCMHC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | PO BOX 417
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City | LYNDONVILLE
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State | VT
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Zip | 05851-0417
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Country | US
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Telephone | 802-626-1052
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 322
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City | EAST BURKE
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State | VT
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Zip | 05832
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Country | US
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Telephone | 802-626-1136
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0680000503
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License Number State | VT
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