Mary Bissonward, LADC, LCMHC

NPI #1639221369 in St Johnsbury, Vermont

Provider Information

NPI Number: 1639221369
Entity Type: Individual
Name: Mary Bissonward, LADC, LCMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LADC, LCMHC
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 297 SUMMER ST
City: St Johnsbury
State: Vermont
ZIP Code: 05819
Phone: (802) 748-1682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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