Provider Demographics
NPI:1043074347
Name:PLANTIER, BROOKE (CRISIS COUNSELOR)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:PLANTIER
Suffix:
Gender:F
Credentials:CRISIS COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 S WARDSBORO RD
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:VT
Mailing Address - Zip Code:05345-9579
Mailing Address - Country:US
Mailing Address - Phone:802-471-4692
Mailing Address - Fax:
Practice Address - Street 1:812 S WARDSBORO RD
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:VT
Practice Address - Zip Code:05345-9579
Practice Address - Country:US
Practice Address - Phone:802-471-4692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor