Provider Demographics
NPI:1669790283
Name:BARRETT, THOMAS PETER (LCPC , CADC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:PETER
Last Name:BARRETT
Suffix:
Gender:M
Credentials:LCPC , CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DOVER FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426-1270
Mailing Address - Country:US
Mailing Address - Phone:207-564-1202
Mailing Address - Fax:
Practice Address - Street 1:69 HIGH ST
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-1270
Practice Address - Country:US
Practice Address - Phone:207-564-1202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional