Shannon Brennan, LADC | |
100 Hospitality Drive, Berlin, VT 05602 | |
(802) 223-4156 | |
(802) 223-4332 |
Full Name | Shannon Brennan |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 100 Hospitality Drive, Berlin, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255767497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0081022 (Vermont) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000602 (Vermont) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shannon Brennan, LADC Po Box G, Randolph, VT 05060-0167 Ph: (802) 728-4466 | Shannon Brennan, LADC 100 Hospitality Drive, Berlin, VT 05602 Ph: (802) 223-4156 |
Elizabeth E Thompson, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-479-1476 | |
Amanda Marie Galloway, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 | |
Debra K Wucik, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hospitality Drive, Berlin, VT 05602 Phone: 802-223-4156 Fax: 802-223-4332 | |
Jason Herbert Fechter, LPMA Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Katie M Burkholder, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hospitality Drive, Berlin, VT 05641 Phone: 802-223-4156 | |
Mr. Charles R Keinath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80247 91759 Airport Rd, Berlin, VT 05602 Phone: 802-479-1759 |