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NPI Code Detail

MEDICARE: CECILE M LERICHE LCMHC

MEDICARE: CECILE M LERICHE LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor068-0000723VT

General Provider Information

NPI Number : 1366639700
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILE M LERICHE LCMHC
Provider Business Mailing Address
First Line : PO BOX 1174
Second Line :
City : HARDWICK
State : VT
Zip : 05843-1174
Country : US
Telephone Number : 802-274-9399
Fax Number :
Provider Business Practice Location Address
First Line : 200 PARK ST
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-9098
Country : US
Telephone Number : 802-274-9399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2007
Last Update Date : 12/15/2023

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