Provider Demographics
NPI:1619569134
Name:BODETTE, APRIL MARIE (MS, LCMHC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE
Last Name:BODETTE
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:GLOVER
Mailing Address - State:VT
Mailing Address - Zip Code:05839-0122
Mailing Address - Country:US
Mailing Address - Phone:802-323-6428
Mailing Address - Fax:
Practice Address - Street 1:1122 STILL HILL
Practice Address - Street 2:
Practice Address - City:GLOVER
Practice Address - State:VT
Practice Address - Zip Code:05839
Practice Address - Country:US
Practice Address - Phone:802-323-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0133391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health