Doctor Name: | MRS. BOBBI J WARNER SOMERS |
NPI Number: | 1740413277 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LADC, LCMHC |
License Number: | 0057815 |
Business Practice Address: | 18 Tulip Street Lyndonville, VT - 05851 |
Business Phone Number: | 8025358403 |
Business Fax Number: | |
Mailing Address: | 2888 Us Route 5 S, BARNET |
State: | VT |
Postal Code: | 058219677 |
Phone Number: | 8025358403 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0057815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |