Provider Demographics
NPI:1942329610
Name:HARDING-GURNEY, JANE F (MA, CAC, CADC,NCADC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:F
Last Name:HARDING-GURNEY
Suffix:
Gender:F
Credentials:MA, CAC, CADC,NCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOSPITAL CT
Mailing Address - Street 2:STE 410
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-1489
Mailing Address - Country:US
Mailing Address - Phone:802-463-3294
Mailing Address - Fax:802-463-1206
Practice Address - Street 1:107 PARK ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-3028
Practice Address - Country:US
Practice Address - Phone:802-885-5781
Practice Address - Fax:802-885-4857
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000102103T00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2082372OtherCIGNA
VT38819OtherBLUE CROSS