Chynah Boise, LCMHC
Individual provider Active NPI Mental Health Counselor · Rutland, VT
NPI 1235874405 · NPPES record last updated May 3, 2022
Key facts
- NPI
- 1235874405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0680134551 (VT)
- Practice address
- 78 S Main St
Rutland, VT 05701-4594 - Phone
- (802) 770-5418
- Fax
- (802) 747-7699
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0680134551 | VT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0680134551 | VT | Yes |
Addresses
Primary practice location
78 S Main St
Rutland, VT 05701-4594
Mailing address
78 S Main St
Rutland, VT 05701-4594
Phone (802) 770-5418
Other providers in Rutland, VT
- Andrea Blair
- Susan E Blish
- Elizabeth Bloomfield
- Jacquelyn Ellen Bode
- William James Bogertman
- Erica Bolster
- Bartholomew J Bonazinga
- Boston Psychotherapy, PLC
- Deborah E. Boston
- Marcie Bouchard
All providers in Rutland, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.