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16 Abare Ave Essex Junction VT 05452-2923 | |
| (802) 448-0299 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16 Abare Ave, Essex Junction, Vermont |
| Authorized Official Name and Position | Megan Kiernan (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 8024482411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
16 Abare Ave Essex Junction VT 05452-2923 Ph: (802) 448-2411 | 16 Abare Ave Essex Junction VT 05452-2923 Ph: (802) 448-0299 |
| NPI Number | 1538736418 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 1254876147 |
|---|---|
| Medicare Enrollment ID | O20240716001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538736418 | NPI | - | NPPES |
| 1025957 | Medicaid | VT |
| Provider Name | Megan Elizabeth Kiernan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164811915 PECOS PAC ID: 3072058965 Enrollment ID: I20240717000174 |
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