Wallingford, Ann

Wallingford, Ann is an sole proprietor health care provider with primary practice located at 4579 Center Rd , E Montpelier VT 05651-4261. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Wallingford, Ann can be contacted via phone (802) 595-5065.

Contact Information

Primary practice address
4579 Center Rd E Montpelier VT 05651-4261
Phone: (802) 595-5065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0134258 Vermont
Behavioral Health & Social Service Providers / Counselor 101Y00000X 068.0134258 Vermont

Profile Details

NPI number 1609482215
LBN Legal business name Wallingford, Ann
Credentials MS, LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2020
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609482215 NPPES
Vermont MEDICAID 6704898

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