Provider Demographics
NPI:1518267228
Name:LIBROT, STEVEN L (LCMHC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:L
Last Name:LIBROT
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:L
Other - Last Name:LIBROT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC
Mailing Address - Street 1:PO BOX 1258
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-1258
Mailing Address - Country:US
Mailing Address - Phone:603-252-2235
Mailing Address - Fax:
Practice Address - Street 1:24 OPERA HOUSE SQ
Practice Address - Street 2:BOX 18
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-5408
Practice Address - Country:US
Practice Address - Phone:603-252-2235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH933101YM0800X
VT068.0057651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3092157Medicaid
VT1018324Medicaid
VT1018324Medicaid