Colvin, Victoria E

Colvin, Victoria E is an individual health care provider with primary practice located at 855 Pine St , Burlington VT 05401-4924. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Colvin, Victoria E can be contacted via phone (802) 862-6459.

Contact Information

Primary practice address
855 Pine St Burlington VT 05401-4924
Phone: (802) 862-6459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000049 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089-0000104 Vermont

Profile Details

NPI number 1447289541
LBN Legal business name Colvin, Victoria E
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447289541 NPPES
Vermont MEDICAID 0VN1400

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