| Institute Of Trauma Recovery And Resiliency | |
|
162 Hegeman Ave Colchester VT 05446-3109 | |
| (802) 281-3330 | |
| Not Available |
| Full Name | Institute Of Trauma Recovery And Resiliency |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 162 Hegeman Ave, Colchester, Vermont |
| Authorized Official Name and Position | Charles Joseph Corbally (CO DIRECTOR) |
| Authorized Official Contact | 8022813330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Trauma Recovery And Resiliency 523 Smugglers View Rd Jeffersonville VT 05464-9450 Ph: () - | Institute Of Trauma Recovery And Resiliency 162 Hegeman Ave Colchester VT 05446-3109 Ph: (802) 281-3330 |
| NPI Number | 1093483851 |
|---|---|
| Provider Enumeration Date | 09/05/2021 |
| Last Update Date | 09/05/2021 |
| Certification Date | 09/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093483851 | NPI | - | NPPES |
| 1028428 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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