NPI 1124891809

Licia Berry-Berard, MSW, Licsw LLC

Organisation Community/Behavioral Health Agency Thetford, VT

Practice location

Address: 321 Route 113, Thetford, VT 05054
Phone: (802) 565-0424
Mailing address: PO Box 44, North Thetford, VT 05054-0044

Authorised official

Name: Licia Lane Berry-Berard
Title: Owner
Phone: (802) 698-2246

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Vermont →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Vermont →

Registry record

NPI: 1124891809
Entity type: Organization
NPI issued: 3 Nov 2023
Record last updated: 2 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.