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Contact Information

VIRGIL J KOVACHICH II, MA,LADC,LCMHC
103 SCHOOL STREET
SUITE D
BARTON, VT05822-0156
 Phone: 802-525-4529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for VIRGIL J KOVACHICH II · (Male)

NPI # 1386709905
Status Active
Credentials MA,LADC,LCMHC
Entity Individual
Enumeration date 12/26/2006
Last updated 11/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 000135
  • VT License # 068-0000570
  • VT Medicaid 1008371
  • VT Other 58531 BCBS
  • VT Other 391759 MVP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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