Individual
VIRGIL JOHN KOVACHICH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LADC,LCMHC
Contact information
Practice address
103 SCHOOL STREET, SUITE D, BARTON, VT 05822-0156
(802) 525-4529
Mailing address
PO BOX 156, BARTON, VT 05822-0156
(802) 525-4529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000135
VT
101YM0800X
Mental Health Counselor
068-0000570
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008371
—
VT
01
—
391759
MVP
VT
01
—
58531
BCBS
VT
Enumeration date
12/26/2006
Last updated
11/05/2012
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