Richter, Marc D.

Richter, Marc D. is an sole proprietor health care provider with primary practice located at 2 Church St Suite 3G, Burlington VT 05401-4299. He 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 / Clinical is his primary health care specialty. Richter, Marc D. can be contacted via phone (866) 429-2074.

Contact Information

Primary practice address
2 Church St Suite 3G Burlington VT 05401-4299
Phone: (866) 429-2074
Fax: (802) 540-8199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000372 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 103704 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089-0000658 Vermont

Profile Details

NPI number 1982742714
LBN Legal business name Richter, Marc D.
Credentials LICSW, LADC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Nov 30th, 2018 - about 7 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 1982742714 NPPES
Vermont MEDICAID 0VN2410

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