Provider Demographics
NPI:1720447725
Name:GOGUEN, HANNAH (MS)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:GOGUEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 VT ROUTE 15
Mailing Address - Street 2:
Mailing Address - City:WEST DANVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05873-9805
Mailing Address - Country:US
Mailing Address - Phone:802-535-8191
Mailing Address - Fax:
Practice Address - Street 1:73 MAIN ST
Practice Address - Street 2:SUITE 19
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2932
Practice Address - Country:US
Practice Address - Phone:802-535-8191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health