Doctor Name: | REBECCA FITTON |
NPI Number: | 1003035601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 068-0000706 |
Business Practice Address: | 8 Essex Way Essex Junction, VT - 054523425 |
Business Phone Number: | 8022881001 |
Business Fax Number: | |
Mailing Address: | 93 Staniford Rd, BURLINGTON |
State: | VT |
Postal Code: | 054012437 |
Phone Number: | 8029223848 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |