Individual
PETER MICHAEL MAHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCMHC
Contact information
Practice address
128 MERCHANTS ROW, OFFICE 602, RUTLAND, VT 05701-5909
(802) 773-1411
(802) 773-9811
Mailing address
PO BOX 422, CASTLETON, VT 05735-0422
(802) 773-1411
(802) 773-9811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000394
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080-38696
BLUE CROSS BLUE SHIELD VT
VT
05
—
1007096
—
VT
01
—
2039313
CIGNA
VT
01
—
307092
MAGELLAN
VT
01
—
61874
MVP HEALTH CARE
VT
Enumeration date
10/17/2006
Last updated
07/08/2007
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