Provider Demographics
NPI:1255678777
Name:CHINCHAR, CARA L (LCMHC, LADC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:CHINCHAR
Suffix:
Gender:F
Credentials:LCMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF VERMONT
Mailing Address - Street 2:113 WRIGHT HALL, 436 S. PROSPECT ST.
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05405-0001
Mailing Address - Country:US
Mailing Address - Phone:802-656-3340
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF VERMONT
Practice Address - Street 2:113 WRIGHT HALL, 436 S. PROSPECT ST.
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05405-0001
Practice Address - Country:US
Practice Address - Phone:802-656-3340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0000694101Y00000X
VT000450101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)