Individual
JAMES PETER REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, LADC
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
(802) 442-3363
Mailing address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000202
VT
101Y00000X
Counselor
0680000302
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
000202
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
0680000302
VT
101YM0800X
Mental Health Counselor
000202
VT
101YM0800X
Mental Health Counselor
Primary
068-0000302
VT
103T00000X
Psychologist
000202
VT
103T00000X
Psychologist
068-0000302
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007298
—
VT
01
—
153417
MANAGED HEALTH NET
—
01
—
2032395
CIGNA
—
01
—
249131
COM PSYCH
VT
01
—
29290
BLUE CROSS
—
Enumeration date
08/09/2006
Last updated
10/02/2015
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