Provider Demographics
NPI:1316189913
Name:DUFF, DARLENE M (LCMHC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:M
Last Name:DUFF
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2262
Mailing Address - Country:US
Mailing Address - Phone:802-595-9490
Mailing Address - Fax:
Practice Address - Street 1:174 ELM ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2262
Practice Address - Country:US
Practice Address - Phone:802-595-9490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2012-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0045514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1316189913OtherBLUE CROSS/BLUE SHIELD OF VERMONT
VT989026COtherMVP HEALTHCARE
VT1016248Medicaid
VT2198519OtherCIGNA