Individual
MS. GABRIELLE A HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
21 SOUTH ST, MIDDLETOWN SPRINGS, VT 05757-4297
(508) 280-7282
Mailing address
21 SOUTH ST, MIDDLETOWN SPRINGS, VT 05757-4297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134278
VT
101YM0800X
Mental Health Counselor
097.0123818
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097.0123818
BCBSVT
VT
05
—
097.0123818
—
VT
Enumeration date
08/21/2019
Last updated
11/20/2020
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