Individual
LINDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
207 MAIN ST, BENNINGTON, VT 05201-2108
(802) 733-5180
Mailing address
207 MAIN ST, BENNINGTON, VT 05201-2108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000312
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000312
VT
101YM0800X
Mental Health Counselor
000312
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087282
CIGNA
—
01
—
59047
BLUE CROSS
—
Enumeration date
08/09/2006
Last updated
09/02/2011
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