Mr. Gordon L Faison, NA LCMHC
Psychologist, Group Psychotherapy in Brattleboro, Vermont
1710192935- Practice location
- 54 Harris Place, Brattleboro, VT 05301
- Phone
- 802-380-0695
- Fax
- —
- Last updated
- July 8, 2007
Gordon Lane Faison is a Psychologist, Group Psychotherapy based in Brattleboro, VT. Gordon Lane Faison practices in Brattleboro, VT and has the professional credentials of NA LCMHC. The NPI Number for Gordon Lane Faison is 1710192935 and holds a License No. 068-0000321 (VT). The current practice location address for Gordon Lane Faison is 54 Harris Place, Brattleboro, VT 05301 and can be reached out via phone at 802-380-0695.
Provider Profile Details
- NPI Number
- 1710192935
- Provider Name
- Gordon Lane Faison
- Credential
- NA LCMHC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 54 Harris Place, Brattleboro, VT 05301
- Phone Number
- 802-380-0695
- Primary Taxonomy
- Psychologist, Group Psychotherapy · 103TP2701X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 54 Harris Place
Brattleboro, VT 05301 - City
- Brattleboro
- State
- Vermont
- Zip
- 05301
- Phone Number
- 802-380-0695
Provider Business Mailing Address Details
- Address
- Po Box 6262
Brattleboro, VT 05302 - City
- Brattleboro
- State
- VT
- Zip
- 05302
- Phone Number
- 802-380-0695
License Information
- License Number
- 068-0000321
- License State
- VT
- Taxonomy
- Psychologist, Group Psychotherapy · 103TP2701X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Group Psychotherapy providers near Brattleboro, VT
View all Psychologist, Group Psychotherapy providers in Brattleboro →- Dr. Michael C Gigante, PHDPsychologist, Group Psychotherapy · NPI 1669771655
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Frequently Asked Questions
What is the NPI number of Mr. Gordon L Faison, NA LCMHC?
The NPI number of Mr. Gordon L Faison, NA LCMHC is 1710192935. It was assigned on May 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Gordon L Faison, NA LCMHC?
Mr. Gordon L Faison, NA LCMHC is registered under the primary taxonomy Psychologist, Group Psychotherapy (code 103TP2701X), licensed in VT under license number 068-0000321.
Where does Mr. Gordon L Faison, NA LCMHC practice?
The practice location is 54 Harris Place, Brattleboro, VT 05301. The office can be reached at 802-380-0695 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710192935 directly on the NPPES registry website.