Provider Demographics
NPI:1053949875
Name:DENNIS-DEVRIES, CAITLIN GEORGIA (LCMHC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:GEORGIA
Last Name:DENNIS-DEVRIES
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 ROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05462-9433
Mailing Address - Country:US
Mailing Address - Phone:802-735-3630
Mailing Address - Fax:
Practice Address - Street 1:1446 ROUNDS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:VT
Practice Address - Zip Code:05462-9433
Practice Address - Country:US
Practice Address - Phone:802-735-3630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-28
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health