Raya Noreault Lcmhc Plc | |
4185 St George Rd Williston VT 05495-7695 | |
(802) 448-4317 | |
Not Available |
Full Name | Raya Noreault Lcmhc Plc |
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Speciality | Clinic/Center |
Location | 4185 St George Rd, Williston, Vermont |
Authorized Official Name and Position | Raya Noreault (MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8456331047 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raya Noreault Lcmhc Plc 1015 Main St Colchester VT 05446-7658 Ph: (845) 633-1047 | Raya Noreault Lcmhc Plc 4185 St George Rd Williston VT 05495-7695 Ph: (802) 448-4317 |
NPI Number | 1477322550 |
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Provider Enumeration Date | 12/29/2023 |
Last Update Date | 12/29/2023 |
Certification Date | 12/29/2023 |
Medicare PECOS PAC ID | 5597101444 |
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Medicare Enrollment ID | O20240313003418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477322550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Raya Noreault |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1972998433 PECOS PAC ID: 1850737701 Enrollment ID: I20240313003468 |
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