Individual
JUDITH A. HANCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, BCETS
Contact information
Practice address
7959 VT ROUTE 125, BRIDPORT, VT 05734-4401
(802) 758-2222
Mailing address
7959 VT ROUTE 125, BRIDPORT, VT 05734-4401
(802) 758-2222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
089.0000933
VT
101YM0800X
Mental Health Counselor
44SC00866200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740404599
MEDICARE INDIVIDUAL NPI NUMBER
NJ
Enumeration date
04/12/2007
Last updated
11/20/2019
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