| Doctor Name: | MR. MARK FERRIMAN |
| NPI Number: | 1720435837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 068.0116764 |
| Business Practice Address: | 5 Main Street Johnson, VT - 056569411 |
| Business Phone Number: | 8027774692 |
| Business Fax Number: | |
| Mailing Address: | 460 Wescom Rd, JOHNSON |
| State: | VT |
| Postal Code: | 056569411 |
| Phone Number: | 8027774692 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2016 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068.0116764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |