Regis, Amanda M

Regis, Amanda M is an individual health care provider with primary practice located at 437 S Main St , Bradford VT 05033-9196. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Regis, Amanda M can be contacted via phone (802) 222-9317.

Contact Information

Primary practice address
437 S Main St Bradford VT 05033-9196
Phone: (802) 222-9317
Fax: (802) 222-4818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0134039 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0110736 Vermont

Profile Details

NPI number 1700352762
LBN Legal business name Regis, Amanda M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2018
Last updated Oct 17th, 2018 - about 8 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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