Institute Of Trauma Recovery And Resiliency | |
162 Hegeman Ave Colchester VT 05446-3109 | |
(802) 281-3330 | |
Not Available |
Full Name | Institute Of Trauma Recovery And Resiliency |
---|---|
Speciality | Social Worker - Clinical |
Location | 162 Hegeman Ave, Colchester, Vermont |
Authorized Official Name and Position | Charles Joseph Corbally (CO DIRECTOR) |
Authorized Official Contact | 8022813330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Institute Of Trauma Recovery And Resiliency 523 Smugglers View Rd Jeffersonville VT 05464-9450 Ph: () - | Institute Of Trauma Recovery And Resiliency 162 Hegeman Ave Colchester VT 05446-3109 Ph: (802) 281-3330 |
NPI Number | 1093483851 |
---|---|
Provider Enumeration Date | 09/05/2021 |
Last Update Date | 09/05/2021 |
Certification Date | 09/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093483851 | NPI | - | NPPES |
1028428 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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