MS. MARY JEAN WOODBURN MS LADC CSAT-S NPI 1548580111

NPI Information

NPI: 1548580111
Provider Name: MS. MARY JEAN WOODBURN, MS, LADC, CSAT-S
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
14 PARK PL
SUITE # 3
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 380-3994
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MS. Mary Jean Woodburn, MS, LADC, CSAT-S is an addiction (substance use disorder) counselor in Brattleboro, VT. MS. Mary Jean Woodburn, MS, LADC, CSAT-S NPI is 1548580111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 PARK PL
SUITE # 3
BRATTLEBORO, VT
ZIP 05301-821
Phone: (802) 380-3994

The enumeration date for this NPI number is 6/7/2010 and was last updated on 6/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000267	VERMONT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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