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Individual
MR. CHARLES RICHARD GURNEY
Active
Individual
MR. CHARLES RICHARD GURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000094
VT
101YM0800X
Mental Health Counselor
Primary
089-0000306
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093706
VALUE OPTIONS PIN
VT
05
—
1100004
—
VT
01
—
19092
VT BCBS PIN NUMBER
VT
01
—
2029811
CIGNA PIN NUMBER
VT
01
—
217818
MHN PIN NUMBER
VT
01
—
45605
MBC VT PIN NUMBER
VT
01
—
61167
MVP PIN NUMBER
VT
01
—
933840
MAGELLAN PIN NUMBER
VT
05
—
OVN0754
—
VT
Enumeration date
12/02/2006
Last updated
09/17/2013
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