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Individual

MR. THOMAS R CROTEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
84 S MAIN ST, SUITE 4, BARRE, VT 05641-4865
(802) 595-3424
Mailing address
84 S MAIN ST, SUITE 4, BARRE, VT 05641-4865
(802) 595-3424

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0084692
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1022529
VT
Enumeration date
11/01/2013
Last updated
06/02/2016
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