Doctor Name: | JANE HANLEY |
NPI Number: | 1114008828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 0680000203 |
Business Practice Address: | 7 Court Sq Rutland, VT - 057014030 |
Business Phone Number: | 8027754388 |
Business Fax Number: | 8027753307 |
Mailing Address: | 183 Bearly Hi Way, KILLINGTON |
State: | VT |
Postal Code: | 05701 |
Phone Number: | 8024223271 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0680000203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |