# COUNSELING SERVICE OF ADDISON COUNTY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336278985
- **Authorized official:** EMILY ANN VANDEWEERT (BILLING MANAGER)
- **Authorized official phone:** (802) 388-6751

## Contact information

- **Practice address:** 89 MAIN ST, MIDDLEBURY, VT 05753-1459
- **Practice address phone:** (802) 388-6751
- **Practice address fax:** (802) 388-8183
- **Mailing address:** 89 MAIN ST, MIDDLEBURY, VT 05753-1459
- **Mailing address phone:** (802) 388-6751
- **Mailing address fax:** (802) 388-8183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 01/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0004324 | — | VT |
| 05 | — | 1009765 | — | VT |