Provider Demographics
NPI:1083837272
Name:CARITO, CHARLOTTE JEAN
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:JEAN
Last Name:CARITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8319 STATE ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:COPAKE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12517-5309
Mailing Address - Country:US
Mailing Address - Phone:412-477-7369
Mailing Address - Fax:
Practice Address - Street 1:333 EAST ST
Practice Address - Street 2:BRIEN CENTER
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5312
Practice Address - Country:US
Practice Address - Phone:413-499-0412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health