Provider Demographics
NPI:1700459302
Name:DROWN, ALICE PITMAN (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:PITMAN
Last Name:DROWN
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 UPPER QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-8878
Mailing Address - Country:US
Mailing Address - Phone:802-487-4347
Mailing Address - Fax:
Practice Address - Street 1:856 UPPER QUARRY RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-8878
Practice Address - Country:US
Practice Address - Phone:802-487-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health