| Alicia E Holden, | |
|
2225 Portland St, St Johnsbury, VT 05819-8635 | |
| (802) 748-3181 | |
| Not Available |
| Full Name | Alicia E Holden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2225 Portland St, St Johnsbury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629522990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000715 (Vermont) | Primary |
| Entity Name | Clara Martin Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386710861 PECOS PAC ID: 1951395367 Enrollment ID: O20060315000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia E Holden, Po Box 724, Newport, VT 05855-0724 Ph: (802) 334-6744 | Alicia E Holden, 2225 Portland St, St Johnsbury, VT 05819-8635 Ph: (802) 748-3181 |
Ms. Cheryl Santacaterina, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 Western Ave, Suite 102, St Johnsbury, VT 05819 Phone: 802-748-2220 | |
Elizabeth Carbery Neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 242 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-748-1700 | |
Mr. Daniel Baslock, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Eastern Ave, St Johnsbury, VT 05819 Phone: 802-535-9114 | |
Jane F Nuse, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Railroad St, St Johnsbury, VT 05819 Phone: 802-748-3181 Fax: 802-748-0704 | |
Meghan Garcia, LADC Counselor Medicare: Medicare Enrolled Practice Location: 67 Eastern Ave Ste 311, St Johnsbury, VT 05819 Phone: 802-473-8421 | |
Ms. Barbara Louise Elzohairy, M.A. .R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 394 Railroad St, St Johnsbury, VT 05819 Phone: 802-535-2033 | |
Ms. Ruth E Rubin, MSW, MED, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1091 Hospital Dr, St Johnsbury, VT 05819 Phone: 902-748-8920 Fax: 802-748-9536 |