| Green Mountain Aid, Inc. | |
|
86 Saint Paul St Ste 311 Burlington VT 05401-4958 | |
| (802) 753-7934 | |
| Not Available |
| Full Name | Green Mountain Aid, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 86 Saint Paul St Ste 311, Burlington, Vermont |
| Authorized Official Name and Position | Krista Reincke (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8027357934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Aid, Inc. 86 Saint Paul St Ste 311 Burlington VT 05401-4958 Ph: (802) 753-7934 | Green Mountain Aid, Inc. 86 Saint Paul St Ste 311 Burlington VT 05401-4958 Ph: (802) 753-7934 |
| NPI Number | 1053048793 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053048793 | NPI | - | NPPES |
| 6709932 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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