BILLIE FAIRBROTHER LICSW LLC NPI 1497141063

NPI Information

BILLIE FAIRBROTHER, LICSW, LLC is a mental health counselor in Brattleboro, VT. BILLIE FAIRBROTHER, LICSW, LLC NPI is 1497141063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36 PARK PL
SUITE 101
BRATTLEBORO, VT
ZIP 05301-802
Phone: (802) 246-1221
Fax: (802) 246-1002

The provider's authorized official is Billie Jo Fairbrother .
The authorized official title is Therapist and has the following contact phone number (802) 246-1221.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 4/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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