NPI Profile for VIRGIL J KOVACHICH II in BARTON, VT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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VIRGIL J KOVACHICH II
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