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Individual
MR. DAVID GAUTHIER
Active
Individual
MR. DAVID GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000037
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006777
—
VT
01
—
9993
BCBS
VT
Enumeration date
11/12/2006
Last updated
07/08/2007
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