Provider Demographics
NPI:1780910778
Name:GREER, ANN KATHY (LCMHC, LADC)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:KATHY
Last Name:GREER
Suffix:
Gender:F
Credentials:LCMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 N CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05464-9871
Mailing Address - Country:US
Mailing Address - Phone:802-644-2415
Mailing Address - Fax:
Practice Address - Street 1:2817 N CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05464-9871
Practice Address - Country:US
Practice Address - Phone:802-644-2415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000092101YA0400X
VT068000282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health