Provider Demographics
NPI:1174585756
Name:PAYSON, MARGARETTA WILLING (LCPC)
Entity type:Individual
Prefix:MS
First Name:MARGARETTA
Middle Name:WILLING
Last Name:PAYSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3132
Mailing Address - Country:US
Mailing Address - Phone:207-233-4974
Mailing Address - Fax:
Practice Address - Street 1:23 RIDGE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3132
Practice Address - Country:US
Practice Address - Phone:207-233-4974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1908101YM0800X
VT068.0108494101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health