Individual
MS. MARA E. CICALONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCMHC
Contact information
Practice address
287 MAIN ST., CHESTER, VT 05143
(802) 875-5335
(802) 875-5337
Mailing address
PO BOX 844, CHESTER, VT 05143-0844
(802) 875-5335
(802) 875-5337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000643
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068213
BCBS
VT
05
—
1010770
—
VT
01
—
2031051
CIGNA BH
VT
01
—
58671100
MAGELLAN
VT
01
—
787462
MVP
VT
Enumeration date
09/20/2006
Last updated
07/08/2007
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