Active NPIIndividual provider

Mary Bissonward, LADC, LCMHC

Counselor in St Johnsbury, Vermont

NPI Number1639221369
Practice location
297 Summer St, St Johnsbury, VT 05819
Fax
802-748-0211
Last updated
July 8, 2007

Mary Bissonward is a Counselor based in St Johnsbury, VT. Mary Bissonward practices in St Johnsbury, VT and has the professional credentials of LADC, LCMHC. The NPI Number for Mary Bissonward is 1639221369 and holds a License No. 068-0000391 (VT). The current practice location address for Mary Bissonward is 297 Summer St, St Johnsbury, VT 05819 and can be reached out via phone at 802-748-1682 and via fax at 802-748-0211.

Provider Profile Details

NPI Number
1639221369
Provider Name
Mary Bissonward
Credential
LADC, LCMHC
Provider Entity Type
Individual
Gender
Female
Address
297 Summer St, St Johnsbury, VT 05819
Phone Number
802-748-1682
Fax Number
802-748-0211
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
297 Summer St
St Johnsbury, VT 05819
State
Vermont
Zip
05819
Phone Number
802-748-1682
Fax Number
802-748-0211
St Johnsbury, VT 05819Get directions →

Provider Business Mailing Address Details

Address
144 South Main St
Hardwick, VT 05843
City
Hardwick
State
VT
Zip
05843

License Information

License Number
068-0000391
License State
VT
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mary Bissonward, LADC, LCMHC?

The NPI number of Mary Bissonward, LADC, LCMHC is 1639221369. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Mary Bissonward, LADC, LCMHC?

Mary Bissonward, LADC, LCMHC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in VT under license number 068-0000391.

Where does Mary Bissonward, LADC, LCMHC practice?

The practice location is 297 Summer St, St Johnsbury, VT 05819. The office can be reached at 802-748-1682 (phone) or 802-748-0211 (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 1639221369 directly on the NPPES registry website.

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