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Organization

NORI BOKUM, M.A., LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NORI BOKUM M.A. (PRESIDENT)
(802) 295-7500
Entity
Organization

Contact information

Practice address
1011 N MAIN ST, SUITE 30, WHITE RIVER JUNCTION, VT 05001-6200
(802) 295-7500
Mailing address
PO BOX 108, NORWICH, VT 05055-0108
(802) 295-7500

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
047-0000634
VT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
047-0000634
VT
103TA0700X
Adult Development & Aging Psychologist
047-0000634
VT
103TB0200X
Cognitive & Behavioral Psychologist
047-0000634
VT
103TC2200X
Clinical Child & Adolescent Psychologist
047-0000634
VT
103TF0000X
Family Psychologist
047-0000634
VT
103TP2701X
Group Psychotherapy Psychologist
047-0000634
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58028
VT BCBS GROUP#
VT
Enumeration date
04/02/2007
Last updated
09/11/2025
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