Individual
MR. GARY L PITKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 MAIN ST, BRATTLEBORO, VT 05301-2837
(802) 254-9071
Mailing address
60 FORT HILL RD, PUTNEY, VT 05346-8748
(802) 387-4281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080-1606
BLUE CROSS/BLUE SHIELD
VT
05
—
1006833
—
VT
05
—
30420993
—
NH
01
—
45680
MEGALLEN BEHAVIOR HEALTH
VT
01
—
61227
MVP
VT
Enumeration date
01/29/2006
Last updated
07/08/2007
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