Individual
DEBORAH SUE BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3212 US ROUTE 5, DERBY, VT 05829-9677
(802) 323-4677
(802) 766-2620
Mailing address
140 VALENTINE AVE, DERBY LINE, VT 05830-8742
(802) 323-4677
(802) 766-2620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000587
VT
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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