| Counseling Conection Training Institute, Plc | |
|
525 Hercules Dr Suite 1a Colchester VT 05446-5993 | |
| (802) 264-5333 | |
| (802) 264-5338 |
| Full Name | Counseling Conection Training Institute, Plc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 525 Hercules Dr, Colchester, Vermont |
| Authorized Official Name and Position | Leora Elizabeth Black (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8022645333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Conection Training Institute, Plc 525 Hercules Dr Suite 1a Colchester VT 05446-5993 Ph: (802) 264-5333 | Counseling Conection Training Institute, Plc 525 Hercules Dr Suite 1a Colchester VT 05446-5993 Ph: (802) 264-5333 |
| NPI Number | 1386777639 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386777639 | NPI | - | NPPES |
| 1011097 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0680000067 (Vermont) | Primary |
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