Healthcare Provider Details

I. General information

NPI: 1447206339
Provider Name (Legal Business Name): CHRISTINE HOPE ROUTHIER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 HARTFORD TPKE STE 2
VERNON CT
06066-5274
US

IV. Provider business mailing address

45 HARTFORD TPKE STE 2
VERNON CT
06066-5274
US

V. Phone/Fax

Practice location:
  • Phone: 860-647-8995
  • Fax: 860-647-6930
Mailing address:
  • Phone: 860-647-8995
  • Fax: 860-647-6930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18575
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15427
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number09930306
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number24904
License Number StateME
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number006126
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: