IndividualActive
Gordon Faison, NA LCMHC
NPI 1710192935 · Group Psychotherapy Psychologist · Brattleboro, VT
Provider details
- NPI number
- 1710192935
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- NA LCMHC
- Sex
- Male
- Sole proprietor
- No
- License
- 068-0000321 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
54 Harris Place
Brattleboro, VT 05301
Phone: (802) 380-0695
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6262
Brattleboro, VT 05302
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.