| Landry Counseling And Supervision Services, Pllc | |
|
760 Kent Hill Rd East Calais VT 05650-8048 | |
| (802) 793-9850 | |
| Not Available |
| Full Name | Landry Counseling And Supervision Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 760 Kent Hill Rd, East Calais, Vermont |
| Authorized Official Name and Position | Kathleen Marie Landry (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 8027939850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landry Counseling And Supervision Services, Pllc 760 Kent Hill Rd East Calais VT 05650-8048 Ph: (802) 793-9850 | Landry Counseling And Supervision Services, Pllc 760 Kent Hill Rd East Calais VT 05650-8048 Ph: (802) 793-9850 |
| NPI Number | 1396573895 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396573895 | NPI | - | NPPES |
| 1021075 | Other | VT | VERMONT MEDICAID PROVIDER ID |
| 12443277 | Other | CAQH CLEARINGHOUSE | |
| 3019214 | Other | VT | MVP PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |