MR. Gordon Lane Faison, NA LCMHC

NPI #1710192935 in Brattleboro, Vermont

Provider Information

NPI Number
1710192935
Entity Type
Individual
Name
MR. Gordon Lane Faison, NA LCMHC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Group Psychotherapy
Credential
NA LCMHC
Enumeration Date
May 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
54 HARRIS PLACE
State
Vermont
ZIP Code
05301
Phone
(802) 380-0695

Specialties & Taxonomy Codes

Specialty
Psychologist - Group PsychotherapyGroup Psychotherapy

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