Green Mountain Aid, Inc. | |
86 Saint Paul St Ste 311 Burlington VT 05401-4958 | |
(802) 753-7934 | |
Not Available |
Full Name | Green Mountain Aid, Inc. |
---|---|
Speciality | Psychologist - Clinical |
Location | 86 Saint Paul St Ste 311, Burlington, Vermont |
Authorized Official Name and Position | Krista Reincke (CLINICAL DIRECTOR) |
Authorized Official Contact | 8027357934 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Green Mountain Aid, Inc. 86 Saint Paul St Ste 311 Burlington VT 05401-4958 Ph: (802) 753-7934 | Green Mountain Aid, Inc. 86 Saint Paul St Ste 311 Burlington VT 05401-4958 Ph: (802) 753-7934 |
NPI Number | 1053048793 |
---|---|
Provider Enumeration Date | 08/03/2022 |
Last Update Date | 08/03/2022 |
Certification Date | 08/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053048793 | NPI | - | NPPES |
6709932 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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