Doctor Name: | MR. THOMAS R CROTEAU |
NPI Number: | 1205264124 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCMHC |
License Number: | 068.0084692 |
Business Practice Address: | 84 S Main St Suite 4 Barre, VT - 056414865 |
Business Phone Number: | 8025953424 |
Business Fax Number: | |
Mailing Address: | 84 S Main St, Suite 4 BARRE |
State: | VT |
Postal Code: | 056414865 |
Phone Number: | 8025953424 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2013 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068.0084692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |