Provider Demographics
NPI:1295952935
Name:OECHSLIE, EDWARD F (ATR-BC, LCMHC)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:F
Last Name:OECHSLIE
Suffix:
Gender:M
Credentials:ATR-BC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 LINCOLN HILL RD
Mailing Address - Street 2:
Mailing Address - City:HINESBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05461-9662
Mailing Address - Country:US
Mailing Address - Phone:207-558-9231
Mailing Address - Fax:
Practice Address - Street 1:2908 LINCOLN HILL RD
Practice Address - Street 2:
Practice Address - City:HINESBURG
Practice Address - State:VT
Practice Address - Zip Code:05461-9662
Practice Address - Country:US
Practice Address - Phone:207-558-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680089928101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME251450099Medicaid