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Individual

PAULO BEZERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-3894
Mailing address
107 FISHER POND RD, SAINT ALBANS, VT 05478-6286
(802) 524-6554
(802) 524-3894

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
OH
101YP2500X
Professional Counselor
C.2305670
OH
171M00000X
Case Manager/Care Coordinator
390200000X
Student in an Organized Health Care Education/Training Program
Primary
097.0136439
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2846826
OH
Enumeration date
05/16/2018
Last updated
01/29/2026
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