Mr Anthony J Stevens, LCMHC | |
107 Fisher Pond Rd, St Albans, VT 05478-6286 | |
(802) 524-6555 | |
(802) 524-6562 |
Full Name | Mr Anthony J Stevens |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 107 Fisher Pond Rd, St Albans, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841265808 | NPI | - | NPPES |
358509 | Other | VT | MHN |
2153014 | Other | VT | CIGNA |
68252 | Other | VT | BCBS |
1010888 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068-0000653 (Vermont) | Primary |
Entity Name | Northwestern Counseling & Support Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063501476 PECOS PAC ID: 3678545159 Enrollment ID: O20040806000598 |
Mailing Address | Practice Location Address |
---|---|
Mr Anthony J Stevens, LCMHC 10 Outlook Ln, Jericho, VT 05465-2007 Ph: (802) 899-5865 | Mr Anthony J Stevens, LCMHC 107 Fisher Pond Rd, St Albans, VT 05478-6286 Ph: (802) 524-6555 |
Mrs. Holly S Wakefield, LCMHC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Fairfield St, St Albans, VT 05478 Phone: 802-524-8747 | |
Ms. Julie M Parker, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Stephanie Larock, LADC Counselor Medicare: Medicare Enrolled Practice Location: 172 Fairfield Street, St Albans, VT 05478 Phone: 802-488-6000 Fax: 802-488-6919 | |
Ms. Deborah T Patton, MA LADC LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Fairfield St, St Albans, VT 05478 Phone: 802-488-6265 Fax: 802-488-6919 | |
Ms. Deborah B Shell, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Ms. Eleni Randos, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 |