Henderson, Jean Marie

Henderson, Jean Marie is an individual health care provider with primary practice located at 100 Ledgehill Rd , Bennington VT 05201-2273. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Henderson, Jean Marie can be contacted via phone (802) 442-5491.

Contact Information

Primary practice address
100 Ledgehill Rd Bennington VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 068-0000538 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 068-0000538 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000538 Vermont

Profile Details

NPI number 1073522579
LBN Legal business name Henderson, Jean Marie
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 2nd, 2015 - about 9 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 1073522579 NPPES
Vermont Other 2276538 CIGNA
Vermont Other 68191 CIGNA
Vermont MEDICAID 1010781 CIGNA

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