Michelle Ann Fane, LMHC | |
1138 Pine St, Burlington, VT 05401-5353 | |
(802) 488-6000 | |
(802) 488-6919 |
Full Name | Michelle Ann Fane |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1138 Pine St, 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 |
---|---|---|---|
1346324258 | NPI | - | NPPES |
1007511 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068-0000485 (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 |
---|---|
Michelle Ann Fane, LMHC 208 Flynn Ave Ste 3j, Burlington, VT 05401-5420 Ph: (802) 488-6934 | Michelle Ann Fane, LMHC 1138 Pine St, Burlington, VT 05401-5353 Ph: (802) 488-6000 |
Christine Rose Germano, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 802-870-6858 | |
Rebecca Mckay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Lake St, Burlington, VT 05401 Phone: 802-328-9827 | |
Katherine Santa Maria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Elmwood Ave, Burlington, VT 05401 Phone: 802-864-7423 | |
Sarah L. Gerdeman, LCSW-R, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 | |
Kendra Marceau, M.S., NCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 86 Lake St, Burlington, VT 05401 Phone: 802-865-3450 Fax: 802-860-5011 | |
Eric Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 978-987-0305 | |
Jill Everett, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600 |