| Forest Path Counseling, Plc | |
|
100 State St Ste 502 Montpelier VT 05602-4800 | |
| (802) 249-3481 | |
| Not Available |
| Full Name | Forest Path Counseling, Plc |
|---|---|
| Speciality | Social Worker |
| Location | 100 State St Ste 502, Montpelier, Vermont |
| Authorized Official Name and Position | Daniel George Guertin (OWNER, THERAPIST) |
| Authorized Official Contact | 8022493481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Path Counseling, Plc 100 State St Ste 502 Montpelier VT 05602-4800 Ph: (802) 249-3481 | Forest Path Counseling, Plc 100 State St Ste 502 Montpelier VT 05602-4800 Ph: (802) 249-3481 |
| NPI Number | 1043713522 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 6204181977 |
|---|---|
| Medicare Enrollment ID | O20180620002435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043713522 | NPI | - | NPPES |
| 1033249 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel G Guertin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689774192 PECOS PAC ID: 2365705852 Enrollment ID: I20180416001260 |
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