Terri Marie Mayer Thomsen, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bristol, VT
NPI 1720294283 · NPPES record last updated Feb 9, 2010
Key facts
- NPI
- 1720294283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 000407 (VT)
- Practice address
- 27A Main St
Bristol, VT 05443-1317 - Phone
- (802) 349-7017
- Fax
- (802) 264-8546
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 000407 | VT | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- terri.thomsen@terri-mayer-counseling.direct.kno2fy.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000407 | VT | Yes |
Addresses
Primary practice location
27A Main St
Bristol, VT 05443-1317
Mailing address
36 Crescent St
Bristol, VT 05443-1103
Phone (802) 349-7017
Other names
- Ms. Terri Marie Mayer
Other providers in Bristol, VT
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- Joanne Thuesen St.John
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- Chad C Volk
- Walgreen Co
- Marc Richard Werner-Gavrin
- Lindsay Erin White
- Jennifer R Wisdom-Behounek
All providers in Bristol, VT · Addiction (Substance Use Disorder) 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 Feb 9, 2010. 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.