Moran, John T

Moran, John T is an individual health care provider with primary practice located at 51 Fairview St , Brattleboro VT 05301-6629. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Moran, John T can be contacted via phone (802) 254-6028.

Contact Information

Primary practice address
51 Fairview St Brattleboro VT 05301-6629
Phone: (802) 254-6028
Fax: (802) 254-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 000169 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000169 Vermont

Profile Details

NPI number 1053439950
LBN Legal business name Moran, John T
Credentials MA, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 10th, 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 1053439950 NPPES
Vermont Other 29256 BLUE CROSS D&A
Vermont Other 49392 BLUE CROSS D&A

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