Provider Demographics
NPI:1710298914
Name:GADE, ERIN (MS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:GADE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 ALLEN BROOK LN STE 102
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-9203
Mailing Address - Country:US
Mailing Address - Phone:802-735-5164
Mailing Address - Fax:
Practice Address - Street 1:135 ALLEN BROOK LN STE 102
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-9203
Practice Address - Country:US
Practice Address - Phone:802-735-5164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health