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Individual

GLADYS BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC, LCMHC

Contact information

Practice address
1724 MAIN ST, ISLE LA MOTTE, VT 05463-9823
(802) 928-3020
(802) 928-3045
Mailing address
1724 MAIN ST, ISLE LA MOTTE, VT 05463-9823
(802) 928-3020
(802) 928-3045

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0134071
VT
101YM0800X
Mental Health Counselor
Primary
068.0133650
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030447
VT
Enumeration date
05/12/2017
Last updated
04/07/2023
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