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70 Main Street Ludlow VT 05149-0366 | |
(802) 975-0435 | |
(802) 975-0418 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 70 Main Street, Ludlow, Vermont |
Authorized Official Name and Position | Kari Anderson (PRESIDENT AND CLINICAL DIRECTOR) |
Authorized Official Contact | 8029750435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 366 70 Main Street Ludlow VT 05149-0366 Ph: (802) 975-0435 | 70 Main Street Ludlow VT 05149-0366 Ph: (802) 975-0435 |
NPI Number | 1477925949 |
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Provider Enumeration Date | 10/23/2015 |
Last Update Date | 10/23/2015 |
Identifier | Type | State | Issuer |
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1477925949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 068.0107790 (Vermont) | Primary |