Padilla, Terry Gwen

Padilla, Terry Gwen is an sole proprietor health care provider with primary practice located at 100 State St Suite 302, Montpelier VT 05602-3099. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Padilla, Terry Gwen can be contacted via phone (802) 229-4597.

Contact Information

Primary practice address
100 State St Suite 302 Montpelier VT 05602-3099
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000103 Vermont

Profile Details

NPI number 1326074949
LBN Legal business name Padilla, Terry Gwen
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Jul 9th, 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 1326074949 NPPES
Vermont MEDICAID 1011085

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