Individual provider · Type 1 NPI
Kimberly Dena Lightbear, MA LADC
Addiction (Substance Use Disorder) Counselor · St. Johnsbury, VT
NPI number
1740452416
Active
Practice location
108 Cherry Street
St. Johnsbury, VT 05819
Fax (802) 748-9014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000418 (VT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740452416
Kimberly Dena Lightbear, MA LADC's National Provider Identifier is 1740452416, issued on Apr 2, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Johnsbury, VT. The record was last updated on Apr 2, 2008.