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Contact Information

MICHELE CLARK, LCMHC
25 COURT ST
MONTPELIER, VT05602-2812
 Phone: 802-229-9608
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MICHELE CLARK · (Female)

NPI Number 1013066711
Status Active
Credentials LCMHC
Entity Individual
Enumeration date 01/10/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 148
  • VT Medicaid 1008547
  • VT Other BCBS 58618
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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