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Individual
MARK D SCHMOLL
Active
Individual
MARK D SCHMOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000111
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029906
BC/BS OF VT
VT
05
—
1007318
—
VT
01
—
2094293
CIGNA
VT
01
—
360335
TRICARE
VT
01
—
989026C
MVP HEALTHCARE
VT
Enumeration date
09/22/2006
Last updated
04/06/2010
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