Organization
COUNSELING SERVICE OF ADDISON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY A VANDEWEERT (CLIENT HEALTH/BILLING MGR)
(802) 388-6751
Entity
Organization
Contact information
Practice address
67 CATAMOUNT PARK, MIDDLEBURY, VT 05753-1397
(802) 388-8188
(802) 388-8183
Mailing address
89 MAIN ST, MIDDLEBURY, VT 05753-1459
(802) 388-6751
(802) 388-3108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336278985
—
VT
Enumeration date
02/12/2016
Last updated
02/12/2016
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