Organization
COUNSELING SERVICE OF ADDISON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JIMERSON M.D. (MEDICAL DIRECTOR)
(802) 388-6751
Entity
Organization
Contact information
Practice address
89 MAIN ST, MIDDLEBURY, VT 05753-1459
(802) 388-6751
(802) 388-8183
Mailing address
89 MAIN ST, MIDDLEBURY, VT 05753-1459
(802) 388-6751
(802) 388-8183
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6040011
—
VT
Enumeration date
03/05/2007
Last updated
10/18/2011
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