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Organization
FORENSIC CONSULTATION & COUNSELING SERVICE
Active
Organization
FORENSIC CONSULTATION & COUNSELING SERVICE
Active
Other names
FCCS, Forensic Consultation & Counseling Service, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER CHADWICK MS LADC AFC (DIRECTOR)
(802) 772-0700
Entity
Organization
Contact information
Practice address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 772-0700
(802) 771-8009
Mailing address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 772-0700
(802) 771-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000447
VT
101YM0800X
Mental Health Counselor
068.0047526
VT
101YP2500X
Professional Counselor
000447
VT
1041C0700X
Clinical Social Worker
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019731
—
VT
Enumeration date
09/21/2011
Last updated
01/06/2022
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