Julia R Doiron

Individual provider Active NPI Mental Health Counselor · Wallingford, VT

NPI 1780182857 · NPPES record last updated Jan 24, 2018

Key facts

NPI
1780182857
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
097.0134143 (VT)
Practice address
167 N Main St
Wallingford, VT 05773-9800
Phone
(802) 446-3577
Fax
(802) 446-3801
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
097.0134143VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Leaf Clinic PC Past
since Dec 20, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 097.0134143 VT Yes

Addresses

Primary practice location

167 N Main St
Wallingford, VT 05773-9800

Mailing address

167 N Main St
Wallingford, VT 05773-9800
Phone (802) 446-3577

Other providers in Wallingford, VT

All providers in Wallingford, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.