Votaw, James D

Votaw, James D is an individual health care provider with primary practice located at 132 Mansfield Ave , Willimantic CT 06226-2027. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Votaw, James D can be contacted via phone (860) 456-2261.

Contact Information

Primary practice address
132 Mansfield Ave Willimantic CT 06226-2027
Phone: (860) 456-2261
Fax: (860) 779-5437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1477676872
LBN Legal business name Votaw, James D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jun 25th, 2015 - about 11 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 1477676872 NPPES
Connecticut MEDICAID 004040564

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