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Organization
ROOTED VINES COUNSELING LCSW PLLC
Active
Organization
ROOTED VINES COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SCHALLERT LCSW-R (MEMBER-MANAGER)
(518) 810-1791
Entity
Organization
Contact information
Practice address
57 PERSHING DR, SCOTIA, NY 12302-2917
(518) 810-1791
Mailing address
57 PERSHING DR, SCOTIA, NY 12302-2917
(518) 810-1791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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