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Mary Bissonward, LADC,LCMHC
Counselor in St Johnsbury, Vermont
NPI 1639221369

Mary Bissonward is a Counselor based in Hardwick, 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 (Vermont).

The current practice location address for Mary Bissonward is 297 Summer St, St Johnsbury, VT and can be reached out via phone at 802-748-1682 and via fax at 802-748-0211.

Location: 297 Summer St, St Johnsbury, VT, 05843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 05843
Phone Number
802-748-1682
Fax Number
802-748-0211
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1012109 05 VT
institution
Provider Business Practice Location Address Details
Address
297 Summer St
City
St Johnsbury
State
Vermont
Zip
05819
Phone Number
802-748-1682
Fax Number
802-748-0211
person
Provider Business Mailing Address Details
Address
297 Summer St
City
St Johnsbury
State
Vermont
Zip
05819
Phone Number
802-748-1682
Fax Number
802-748-0211
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
068-0000391 (Vermont)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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