Provider Information for 1225722366
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BONNIE CHASE LCMHC
Sex: Female
NPI: 1225722366
Last Updated: 2023-06-02
Certification Date: 2023-05-26
Certification Date: 2023-05-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225722366 | ||||||||
| Enumeration Date | 2023-06-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15 WOODLAND DR SPRINGFIELD, VT 05156-2138 United States Phone: 802-289-4730 | Fax:802-258-4305 | ||||||||
| Primary Practice Address | ANNA MARSH LANE BRATTLEBORO, VT 05302 United States Phone: 802-258-4324 | Fax:802-258-4305 | ||||||||
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