Crystal Irish, LADAC
Counselor, Addiction (Substance Use Disorder) in White River Jct, Vermont
1972193266- Practice location
- 39 Fogg Farm RD, White River Jct, VT 05088-0508
- Phone
- 802-295-1311
- Fax
- —
- Last updated
- January 21, 2021
Crystal Irish is a Counselor, Addiction (Substance Use Disorder) based in White River Jct, VT. Crystal Irish practices in White River Jct, VT and has the professional credentials of LADAC. The NPI Number for Crystal Irish is 1972193266 and holds a License No. 151.0134105 (VT). The current practice location address for Crystal Irish is 39 Fogg Farm RD, White River Jct, VT 05088-0508 and can be reached out via phone at 802-295-1311.
Provider Profile Details
- NPI Number
- 1972193266
- Provider Name
- Crystal Irish
- Credential
- LADAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 39 Fogg Farm RD, White River Jct, VT 05088-0508
- Phone Number
- 802-295-1311
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 21, 2021
- Last Update Date
- January 21, 2021
- Certification Date
- January 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 Fogg Farm RD
White River Jct, VT 05088-0508 - City
- White River Jct
- State
- Vermont
- Zip
- 05088-0508
- Phone Number
- 802-295-1311
Provider Business Mailing Address Details
- Address
- Po Box G
Randolph, VT 05060-0167 - City
- Randolph
- State
- VT
- Zip
- 05060-0167
- Phone Number
- 802-728-4466
License Information
- License Number
- 151.0134105
- License State
- VT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
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 Crystal Irish, LADAC?
The NPI number of Crystal Irish, LADAC is 1972193266. It was assigned on January 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Crystal Irish, LADAC?
Crystal Irish, LADAC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 151.0134105.
Where does Crystal Irish, LADAC practice?
The practice location is 39 Fogg Farm RD, White River Jct, VT 05088-0508. The office can be reached at 802-295-1311 (phone).
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 1972193266 directly on the NPPES registry website.