Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 000518 | VT |
Y | 101YM0800X | Mental Health Counselor | 068-0075400 | VT |
N | 225X00000X | Occupational Therapist | 072-0000275 | VT |
N | 225XM0800X | Mental Health | 072-0000275 | VT |
NPI | 1740485747 |
---|---|
Provider Name | Mrs. Erin F. Boxer |
First Address | Springfield, VT 05156-2226 |
Second Address | Springfield, VT 05156-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 06/08/2015 |