Jean Marie Henderson in Bennington - Counselor
Jean Marie Henderson - NPI 1073522579
Jean Marie Henderson is a Counselor in Bennington, Vermont. Jean Marie Henderson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jean Marie Henderson is 1073522579. The last update date is 2015-10-02.
Jean Marie Henderson's current location address is 100 Ledgehill Rd, Bennington, Vermont. You can contact this provider via phone number 8024425491 and fax number 8024424910. The mailing address for Jean Marie Henderson is 100 Ledgehill Rd, Bennington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Marie Henderson |
|---|---|
| Address | 100 Ledgehill Rd, Bennington, Vermont |
| Phone Number | 8024425491 |
| Fax Number | 8024424910 |
| Sole Proprietor | N |
| Credentials | LCMHC |
NPI Number Detail
| NPI Number | 1073522579 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2015-10-02 |
Provider Mailing Address Detail
| Address | 100 Ledgehill Rd |
|---|---|
| City | Bennington |
| State | Vermont (VT) |
| Post Code | 52012273 |
| Phone Number | 8024425491 |
| Fax Number | 8024424910 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 068-0000538 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2276538 | VT | CIGNA | |
| 68191 | BLUE CROSS | ||
| 1010781 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jean Marie Henderson by the Centers for Medicare & Medicaid Services?
The Jean Marie Henderson has been issued the NPI (National Provider Identifier) 1073522579, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jean Marie Henderson is geographically located?
The Jean Marie Henderson is physically situated at the following location: 100 Ledgehill Rd, Bennington, VT, 52012273.
What is the Jean Marie Henderson's specialty and taxonomy code?
The Jean Marie Henderson's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073522579 to Jean Marie Henderson?
The Centers for Medicare & Medicaid Services originally issued the 1073522579 to Jean Marie Henderson on 2006-08-05.
As of what date was the information regarding Jean Marie Henderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jean Marie Henderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-10-02.