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Contact Information

HEATHER AXMAN, LCSW
5 MOUNTAIN PARK PLAZA
WEST DOVER, VT05356-9999
 Phone: 802-464-8105
 Fax: 802-923-3912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for HEATHER AXMAN · (Female)

NPI Number 1386879674
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 05/15/2009
Last updated 11/17/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MCAP.0100249
  • FL License # SW9437
  • NY License # 079468
  • VT License # 089.0082832
  • VT License # 151.0125990
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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