Kimberly Dena Lightbear in St Johnsbury - Addiction (substance Use Disorder)

Kimberly Dena Lightbear - NPI 1740452416

Kimberly Dena Lightbear is a Addiction (substance Use Disorder) in St Johnsbury, Vermont. Kimberly Dena Lightbear practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kimberly Dena Lightbear is 1740452416. The last update date is 2008-04-02.

Kimberly Dena Lightbear's current location address is 108 Cherry Street, St Johnsbury, Vermont. You can contact this provider via phone number 8027488842 and fax number 8027489014. The mailing address for Kimberly Dena Lightbear is 108 Cherry Street, St Johnsbury, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Dena Lightbear
Address 108 Cherry Street, St Johnsbury, Vermont
Phone Number 8027488842
Fax Number 8027489014
Sole Proprietor N
Credentials MA LADC

NPI Number Detail

NPI Number 1740452416
Provider Enumeration Date 2008-04-02
Last Updated Date 2008-04-02

Provider Mailing Address Detail

Address 108 Cherry Street
City St Johnsbury
State Vermont (VT)
Post Code 5819
Phone Number 8027488842
Fax Number 8027489014

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 418
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kimberly Dena Lightbear

What is the unique identifier code issued to Kimberly Dena Lightbear by the Centers for Medicare & Medicaid Services (CMS)?

The Kimberly Dena Lightbear has been assigned the NPI (National Provider Identifier) 1740452416. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kimberly Dena Lightbear's facilities are situated?

The facilities of Kimberly Dena Lightbear are physically located at the following address: 108 Cherry Street, St Johnsbury, VT, 5819.

What is the Kimberly Dena Lightbear's area of specialization and corresponding taxonomy classification?

The Kimberly Dena Lightbear's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740452416 to Kimberly Dena Lightbear?

The Centers for Medicare & Medicaid Services originally issued the 1740452416 to Kimberly Dena Lightbear on 2008-04-02.

As of what date were the details related to Kimberly Dena Lightbear most recently updated or revised?

The information pertaining to Kimberly Dena Lightbear, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-02.

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