Provider Demographics
NPI:1336793132
Name:BRIAND, KATHERINE J (MA LCMHC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:J
Last Name:BRIAND
Suffix:
Gender:F
Credentials:MA LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 UNION ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:VT
Mailing Address - Zip Code:05089-1511
Mailing Address - Country:US
Mailing Address - Phone:802-234-1532
Mailing Address - Fax:
Practice Address - Street 1:316 MAIN ST # EH-4
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055-4428
Practice Address - Country:US
Practice Address - Phone:802-234-1532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-30
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0134540101YP2500X
VT068.0134453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional