Individual
KATHLEEN C MCISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. CMHC
Contact information
Practice address
1084 FAIRGROUND RD, BRADFORD, VT 05033-9318
(802) 323-6172
Mailing address
1084 FAIRGROUND RD, BRADFORD, VT 05033-9318
(802) 323-6172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0134176
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1527
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC8976
ME
101YM0800X
Mental Health Counselor
Primary
068.0134997
VT
101YM0800X
Mental Health Counselor
4724
NH
Other
Enumeration date
08/30/2021
Last updated
01/27/2025
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