Mallory Stunell, LADC | |
75 San Remo Dr, South Burlington, VT 05403-6385 | |
(802) 488-7350 | |
(802) 488-6919 |
Full Name | Mallory Stunell |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 75 San Remo Dr, South Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386153013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151-0131390 (Vermont) | Primary |
Entity Name | Howardcenter, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639267404 PECOS PAC ID: 3072403831 Enrollment ID: O20041029000184 |
Mailing Address | Practice Location Address |
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Mallory Stunell, LADC 208 Flynn Ave Ste 3j, Burlington, VT 05401-5420 Ph: (802) 488-6920 | Mallory Stunell, LADC 75 San Remo Dr, South Burlington, VT 05403-6385 Ph: (802) 488-7350 |
Donnamarie Carey, LADC LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Dorset St Ste 245-225, South Burlington, VT 05403 Phone: 802-224-6322 Fax: 855-864-6612 | |
Joanna Gould, LADC,LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 San Remo Dr, South Burlington, VT 05403 Phone: 802-488-7350 Fax: 802-488-6919 | |
Amy Yvonne Poland, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 364 Dorset Street, Suite 204, South Burlington, VT 05403 Phone: 802-658-9440 Fax: 802-658-9443 | |
Julie E Coffey, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Dorset St, South Burlington, VT 05403 Phone: 802-865-3450 | |
Francis Chamberlain, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Airport Dr, South Burlington, VT 05403 Phone: 802-488-7711 | |
Antonia Harty, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Airport Dr, South Burlington, VT 05403 Phone: 802-488-6000 Fax: 802-488-6919 | |
Ms. Gail Powell Hanson, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 366 Dorset St, Suite #10, South Burlington, VT 05403 Phone: 802-654-7607 Fax: 802-654-9155 |