Doctor Name: | GERARD C COLPITTS |
NPI Number: | 1326177270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 089.0090965 |
Business Practice Address: | 107 Eastern Ave Octagon Bldg Suite C St Johnsbury, VT - 058192762 |
Business Phone Number: | 6034969375 |
Business Fax Number: | |
Mailing Address: | 1965 Coppermine Rd, MONROE |
State: | NH |
Postal Code: | 037713243 |
Phone Number: | 6034969375 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 089.0090965 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |