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Individual
LAURIE L. PONTBRIAND
Active
Individual
LAURIE L. PONTBRIAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000558
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069177
BLUE CROSS/BLUE SHIELD VT
VT
05
—
1009566
—
VT
01
—
2294586
CIGNA
VT
01
—
360330
TRICARE
VT
01
—
989026
MVP
—
Enumeration date
09/24/2006
Last updated
03/29/2010
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