Moore, Carol Anne

Moore, Carol Anne is an individual health care provider with primary practice located at 160 Benmont Ave , Bennington VT 05201-1873. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Moore, Carol Anne can be contacted via phone (802) 442-3520.

Contact Information

Primary practice address
160 Benmont Ave Bennington VT 05201-1873
Fax: (802) 447-3392
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 047-0000524 Vermont

Profile Details

NPI number 1588729867
LBN Legal business name Moore, Carol Anne
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
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 1588729867 NPPES
Vermont MEDICAID 1006792

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