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Individual
DAVID O'BRIEN
Active
Individual
DAVID O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000179
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
000179
VT
101YM0800X
Mental Health Counselor
000179
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068037
CIGNA
—
01
—
224426
COM PSYCH
VT
01
—
38186
BLUE CROSS
—
Enumeration date
08/05/2006
Last updated
03/21/2008
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