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Organization
LANDRY COUNSELING AND SUPERVISION SERVICES, PLLC
Active
Organization
LANDRY COUNSELING AND SUPERVISION SERVICES, PLLC
Active
Other names
OpenGate
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARIE LANDRY MA, LCMHC (OWNER/ CLINICAL DIRECTOR)
(802) 793-9850
Entity
Organization
Contact information
Practice address
760 KENT HILL RD, EAST CALAIS, VT 05650-8048
(802) 793-9850
Mailing address
760 KENT HILL RD, EAST CALAIS, VT 05650-8048
(802) 793-9850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021075
VERMONT MEDICAID PROVIDER ID
VT
01
—
12443277
CAQH CLEARINGHOUSE
—
01
—
3019214
MVP PROVIDER ID
VT
Enumeration date
07/25/2024
Last updated
07/25/2024
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