Provider Demographics
NPI:1013251909
Name:CAREY, DONNAMARIE (LADC LCMHC)
Entity Type:Individual
Prefix:
First Name:DONNAMARIE
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:LADC LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MAIN ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-4257
Mailing Address - Country:US
Mailing Address - Phone:802-224-6322
Mailing Address - Fax:855-864-6612
Practice Address - Street 1:250 MAIN ST
Practice Address - Street 2:SUITE 305
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-4257
Practice Address - Country:US
Practice Address - Phone:802-224-6322
Practice Address - Fax:855-864-6612
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000601101YA0400X
VT068.0068222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1021391Medicaid