Organization
BRATTLEBORO PASTORAL COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET A GOLDSTEIN (EXECUTIVE DIRECTOR)
(802) 254-9071
Entity
Organization
Contact information
Practice address
81 BELMONT AVE., BRATTLEBORO, VT 05301
(802) 254-9071
Mailing address
81 BELMONT AVE, BRATTLEBORO, VT 05301
(802) 254-9071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08029670
BLUE CROSS BLUE SHEILD
VT
05
—
1007526
—
VT
Enumeration date
01/08/2007
Last updated
07/14/2016
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