Individual
MR. DAVID BRUCE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 258-7013
Mailing address
229 WESTERN AVE, BRATTLEBORO, VT 05301-6589
(802) 258-7013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097.0076952
VERMONT ROSTER NUMBER
VT
Enumeration date
05/16/2012
Last updated
05/16/2012
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