Clark, Michele

Clark, Michele is an sole proprietor health care provider with primary practice located at 25 Court St , Montpelier VT 05602-2812. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Michele can be contacted via phone (802) 229-9608.

Contact Information

Primary practice address
25 Court St Montpelier VT 05602-2812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 148 Vermont

Profile Details

NPI number 1013066711
LBN Legal business name Clark, Michele
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 17 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 1013066711 NPPES
Vermont MEDICAID 1008547
Vermont Other BCBS

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