Individual
PHILIP FOLDEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 257-9444
Mailing address
PO BOX 60, WEST CHESTERFIELD, NH 03466-0060
(603) 256-6122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000304
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010310
—
VT
01
—
59682
BLUE CROSS
VT
Enumeration date
06/27/2007
Last updated
03/27/2019
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