Mary Bissonward, LADC, LCMHC | |
297 Summer St, St Johnsbury, VT 05819 | |
(802) 748-1682 | |
(802) 748-0211 |
Full Name | Mary Bissonward |
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Gender | Female |
Speciality | Counselor |
Location | 297 Summer St, St Johnsbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639221369 | NPI | - | NPPES |
1012109 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | 068-0000391 (Vermont) | Primary |
Entity Name | Northeast Washington County Community Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699755348 PECOS PAC ID: 7416960265 Enrollment ID: O20080102000299 |
Mailing Address | Practice Location Address |
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Mary Bissonward, LADC, LCMHC 144 South Main St, Hardwick, VT 05843 Ph: () - | Mary Bissonward, LADC, LCMHC 297 Summer St, St Johnsbury, VT 05819 Ph: (802) 748-1682 |
Ms. Cheryl Santacaterina, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 Western Ave, Suite 102, St Johnsbury, VT 05819 Phone: 802-748-2220 | |
Elizabeth Carbery Neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 242 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-748-1700 | |
Mr. Daniel Baslock, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-535-9114 | |
Jane F Nuse, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Railroad St, St Johnsbury, VT 05819 Phone: 802-748-3181 Fax: 802-748-0704 | |
Meghan Garcia, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Eastern Ave Ste 311, St Johnsbury, VT 05819 Phone: 802-473-8421 | |
Ms. Barbara Louise Elzohairy, M.A. .R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 394 Railroad St, St Johnsbury, VT 05819 Phone: 802-535-2033 | |
Ms. Ruth E Rubin, MSW, MED, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1091 Hospital Dr, St Johnsbury, VT 05819 Phone: 902-748-8920 Fax: 802-748-9536 |