Gina Victoria Pearce, LCMHC, LADC | |
1 Anna Marsh Lane, Brattleboro, VT 05302 | |
(802) 258-6127 | |
Not Available |
Full Name | Gina Victoria Pearce |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1 Anna Marsh Lane, Brattleboro, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174003354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0127842 (Vermont) | Secondary |
101YM0800X | Counselor - Mental Health | 068.0084548 (Vermont) | Primary |
Entity Name | Brattleboro Retreat |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730185232 PECOS PAC ID: 7012828908 Enrollment ID: O20041123000627 |
Mailing Address | Practice Location Address |
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Gina Victoria Pearce, LCMHC, LADC 296 Pako Ave, Keene, NH 03431-5023 Ph: (802) 579-2420 | Gina Victoria Pearce, LCMHC, LADC 1 Anna Marsh Lane, Brattleboro, VT 05302 Ph: (802) 258-6127 |
Brian Davis, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Suite 1, Brattleboro, VT 05301 Phone: 802-258-4629 | |
Anthony S Parmenter, MA, LCMHC, AAP, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Anna Marsh Ln., Brattleboro, VT 05301 Phone: 802-258-6718 | |
Michael Burrows, N/A Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Brattleboro, VT 05301 Phone: 802-258-4623 | |
Kristin Lw Bratton, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Fairview Street, Brattleboro, VT 05301 Phone: 802-254-6028 | |
Lacey Haberstroh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Town Crier Dr, Brattleboro, VT 05301 Phone: 802-689-8900 | |
Ms. Jean Zeeb, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 Western Ave, Brattleboro, VT 05301 Phone: 802-451-6204 | |
Lisa C Mendelsund, Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 Harris Pl, Brattleboro, VT 05301 Phone: 802-490-9644 |