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Individual
VIRGIL JOHN KOVACHICH II
Active
Individual
VIRGIL JOHN KOVACHICH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LADC,LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000135
VT
101YM0800X
Mental Health Counselor
068-0000570
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008371
—
VT
01
—
391759
MVP
VT
01
—
58531
BCBS
VT
Enumeration date
12/26/2006
Last updated
11/05/2012
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