Kristine S Lorentzsen, | |
67 Catamount Park, Middlebury, VT 05753-1397 | |
(802) 388-6751 | |
(802) 388-8183 |
Full Name | Kristine S Lorentzsen |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 67 Catamount Park, Middlebury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225733660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0135193 (Vermont) | Primary |
Entity Name | Counseling Service Of Addison County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336278985 PECOS PAC ID: 2062304439 Enrollment ID: O20040329001379 |
Mailing Address | Practice Location Address |
---|---|
Kristine S Lorentzsen, 89 Main St, Middlebury, VT 05753-1483 Ph: (802) 388-6751 | Kristine S Lorentzsen, 67 Catamount Park, Middlebury, VT 05753-1397 Ph: (802) 388-6751 |
Joseph W Prather, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Catamount Park, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-8183 | |
Dr. Isabeall Talmadge Logan, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Main St., Counseling Service Of Addison County, Middlebury, VT 05753 Phone: 802-377-2852 | |
Gina Normand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Catamount Park, Middlebury, VT 05753 Phone: 802-388-8188 Fax: 802-388-8183 | |
Emily Kallock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 Main St, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-3108 | |
Ashley Rick, Counselor Medicare: Accepting Medicare Assignments Practice Location: 89 Main St, Middlebury, VT 05753 Phone: 802-388-0302 Fax: 802-388-8183 | |
Per Ordal Eisenman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Catamount Park, Middlebury, VT 05753 Phone: 802-388-6751 Fax: 802-388-8183 | |
Mr. Charles H. King, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Merchants Row, Middlebury, VT 05753 Phone: 802-388-4174 Fax: 802-388-7813 |