Organization Name: | RICHARD DOUCET LICSW LLC |
NPI Number: | 1184090128 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD DOUCET (SOLE PROPRIETOR) |
Mailing Address: | 36 Park Pl Ste 101 Brattleboro |
State: | VT US |
Postal Code: | 053012802 |
Phone Number: | 8022461221 |
Fax Number: | 8022461002 |
NPI Enumeration Date: | 08/13/2015 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089.00674701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |