Bissonward, Mary

Bissonward, Mary is an individual health care provider with primary practice located at 297 Summer St , St Johnsbury VT 05819. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bissonward, Mary can be contacted via phone (802) 748-1682.

Contact Information

Primary practice address
297 Summer St St Johnsbury VT 05819
Phone: (802) 748-1682
Fax: (802) 748-0211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 068-0000391 Vermont

Profile Details

NPI number 1639221369
LBN Legal business name Bissonward, Mary
Credentials LADC, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639221369 NPPES
Vermont MEDICAID 1012109

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