Individual
RUTH KIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
61 DUSTY RIDGE RD, PUTNEY, VT 05346-8843
(802) 387-5512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000223
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028108
BLUE CROSS
VT
05
—
1007091
—
VT
01
—
1060259
CIGNA
VT
01
—
14Y010674VT01
ANTHEM
VT
Enumeration date
01/11/2007
Last updated
07/08/2007
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