Doctor Name: | CECILE M LERICHE |
NPI Number: | 1366639700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 068-0000723 |
Business Practice Address: | 20 Wakefield Street Hardwick, VT - 05843 |
Business Phone Number: | 8024726036 |
Business Fax Number: | 8024726036 |
Mailing Address: | Po Box 1174, HARDWICK |
State: | VT |
Postal Code: | 058431174 |
Phone Number: | 8024726036 |
Fax Number: | 8024726036 |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000723 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |