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Individual

MS. GAIL H PEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC RNC

Contact information

Practice address
139 MAIN ST, SUITE 614, BRATTLEBORO, VT 05301-3040
(802) 254-9946
Mailing address
139 MAIN ST, SUITE 614, BRATTLEBORO, VT 05301-3040
(802) 254-9946

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000549
VT
101YM0800X
Mental Health Counselor
27
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009635
VT
01
1051619
CIGNA
VT
01
29904
BCBS
VT
05
30422971
NH
01
698771
MVP
VT
Enumeration date
07/20/2006
Last updated
07/08/2007
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