Churchill, Stephanie L

Churchill, Stephanie L is an sole proprietor health care provider with primary practice located at 231 Concord Ave , St Johnsbury VT 05819-1513. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Churchill, Stephanie L can be contacted via phone (802) 748-5364.

Contact Information

Primary practice address
231 Concord Ave St Johnsbury VT 05819-1513
Phone: (802) 748-5364
Fax: (802) 748-7289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1000000044 Vermont

Profile Details

NPI number 1235195629
LBN Legal business name Churchill, Stephanie L
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Jul 9th, 2007 - about 18 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 1235195629 NPPES
Vermont MEDICAID 1012018

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