Doctor Name: | LANA HAUBEN |
NPI Number: | 1275609604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 0890000883 |
Business Practice Address: | 56 Elm St Street Level Manchester Center, VT - 052559642 |
Business Phone Number: | 8023625590 |
Business Fax Number: | 8023625192 |
Mailing Address: | 56 Elm St, P.o. Box 143 MANCHESTER CENTER |
State: | VT |
Postal Code: | 052559642 |
Phone Number: | 8023625590 |
Fax Number: | 8023625192 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0890000883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |