Goss, Bethany J

Goss, Bethany J is an individual health care provider with primary practice located at 1138 Pine St , Burlington VT 05401-5353. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goss, Bethany J can be contacted via phone (802) 488-6600.

Contact Information

Primary practice address
1138 Pine St Burlington VT 05401-5353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000557 Vermont

Profile Details

NPI number 1144380734
LBN Legal business name Goss, Bethany J
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated May 11th, 2011 - about 13 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 1144380734 NPPES
Vermont MEDICAID 1008303

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