- Practice location
- 420 Grove St, Brandon, VT 05733-9062
- Phone
- 802-247-6304
- Fax
- 802-247-6040
- Last updated
- November 30, 2016
Amy Kittredge is a Counselor, Addiction (Substance Use Disorder) based in Brandon, VT. Amy Kittredge practices in Brandon, VT and has the professional credentials of MS, LCMHC, LADC. The NPI Number for Amy Kittredge is 1497146377 and holds a License No. 000626 (VT). The current practice location address for Amy Kittredge is 420 Grove St, Brandon, VT 05733-9062 and can be reached out via phone at 802-247-6304 and via fax at 802-247-6040.
Provider Profile Details
- NPI Number
- 1497146377
- Provider Name
- Amy Kittredge
- Credential
- MS, LCMHC, LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 420 Grove St, Brandon, VT 05733-9062
- Phone Number
- 802-247-6304
- Fax Number
- 802-247-6040
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Other Names
- -- Amy Yandow (Former Name)
- Provider Enumeration Date
- February 12, 2015
- Last Update Date
- November 30, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Grove St
Brandon, VT 05733-9062 - City
- Brandon
- State
- Vermont
- Zip
- 05733-9062
- Phone Number
- 802-247-6304
- Fax Number
- 802-247-6040
Provider Business Mailing Address Details
- Address
- 71 Allen St
Suite 101
Rutland, VT 05701-4570 - City
- Rutland
- State
- VT
- Zip
- 05701-4570
- Phone Number
- 800-468-9118
- Fax Number
- 802-772-7973
License Information
- License Number (1)
- 000626
- License State (1)
- VT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 068.0099058
- License State (2)
- VT
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Amy Kittredge, MS, LCMHC, LADC?
The NPI number of Mrs. Amy Kittredge, MS, LCMHC, LADC is 1497146377. It was assigned on February 12, 2015 and is currently active in the NPPES registry.
What is the specialty of Mrs. Amy Kittredge, MS, LCMHC, LADC?
Mrs. Amy Kittredge, MS, LCMHC, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000626.
Where does Mrs. Amy Kittredge, MS, LCMHC, LADC practice?
The practice location is 420 Grove St, Brandon, VT 05733-9062. The office can be reached at 802-247-6304 (phone) or 802-247-6040 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497146377 directly on the NPPES registry website.