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Contact Information

KIMBERLY D LIGHTBEAR, MA LADC
108 CHERRY STREET
SAINT JOHNSBURY, VT05819
 Phone: 802-748-8842
 Fax: 802-748-9014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KIMBERLY D LIGHTBEAR · (Female)

NPI Number 1740452416
Status Active
Credentials MA LADC
Entity Individual
Enumeration date 04/02/2008
Last updated 04/02/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 000418
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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