Provider Demographics
NPI:1023378627
Name:PARMENTER, ANTHONY S (MA, LCMHC, AAP, NCC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:S
Last Name:PARMENTER
Suffix:
Gender:M
Credentials:MA, LCMHC, AAP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ANNA MARSH LN.
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-0000
Mailing Address - Country:US
Mailing Address - Phone:802-258-6718
Mailing Address - Fax:
Practice Address - Street 1:1 ANNA MARSH LN.
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-0000
Practice Address - Country:US
Practice Address - Phone:802-258-6718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT104514101YA0400X
VT068.0106606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)