Cornforth, Kristi
Cornforth, Kristi is an individual health care provider with primary practice located at 56 W Twin Oaks Ter Ste 3 , South Burlington VT 05403-7138. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cornforth, Kristi can be contacted via phone (802) 227-2670.Contact Information
Primary practice address
56 W Twin Oaks Ter Ste 3
South Burlington VT 05403-7138
Phone: (802) 227-2670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.0122874 | Vermont |
Profile Details
| NPI number | 1619433364 |
|---|---|
| LBN Legal business name | Cornforth, Kristi |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Aug 16th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619433364 | NPPES |
| Vermont | Other | 089.0122874 | VERMONT STATE LICENSE |
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