| Doctor Name: | KATHERINE E CANFIELD |
| NPI Number: | 1093892176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC |
| License Number: | 000036 |
| Business Practice Address: | 162 N Main St Rutland, VT - 057013024 |
| Business Phone Number: | 8666399573 |
| Business Fax Number: | 8666399573 |
| Mailing Address: | 162 N Main St, RUTLAND |
| State: | VT |
| Postal Code: | 057013024 |
| Phone Number: | 8666399753 |
| Fax Number: | 8666399753 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 03/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000036 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |