Individual
M. KATRINE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW/LCSW
Contact information
Practice address
92 CENTER ST, RUTLAND, VT 05701-4019
(802) 770-8777
(877) 501-7757
Mailing address
1 JACKSON HTS, RUTLAND, VT 05701-4552
(802) 770-8777
(877) 501-7757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0059210
VT
1041C0700X
Clinical Social Worker
LCS13972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021366
MEDICARE PTAN
VT
05
—
1019159
—
VT
05
—
CSW139721
—
CA
Enumeration date
11/20/2006
Last updated
06/21/2011
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