Individual
JANE HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7 COURT SQ, RUTLAND, VT 05701-4030
(802) 775-4388
(802) 775-3307
Mailing address
183 BEARLY HI WAY, KILLINGTON, VT 05701
(802) 422-3271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000203
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029298
BCBS
VT
05
—
1007270
—
VT
Enumeration date
10/18/2006
Last updated
07/08/2007
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