Doctor Name: | MR. JAMES BRETT RAINWATER |
NPI Number: | 1508914524 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCMHC |
License Number: | 068-0000635 |
Business Practice Address: | 144 S. Main St. Hardwick, VT - 05843 |
Business Phone Number: | 8024728020 |
Business Fax Number: | |
Mailing Address: | 6 Hubbard St, MONTPELIER |
State: | VT |
Postal Code: | 056023512 |
Phone Number: | 8024728020 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |