Doctor Name: | MRS. MELISSA CULVER |
NPI Number: | 1346573466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LADC, LCMHC |
License Number: | 000459 |
Business Practice Address: | 8 Essex Way Azimuth Counseling & Therapeutic Services Essex Junction, VT - 054523425 |
Business Phone Number: | 8022881001 |
Business Fax Number: | 8022881077 |
Mailing Address: | 8 Essex Way, Azimuth Counseling & Therapeutic Services ESSEX JUNCTION |
State: | VT |
Postal Code: | 054523425 |
Phone Number: | 8022881001 |
Fax Number: | 8022881077 |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 01/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000459 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |