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Individual
DANA JO LA ROSE
Active
Individual
DANA JO LA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000141
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
103454
VT
101YM0800X
Mental Health Counselor
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1124
—
VT
01
—
19888
BLUECROSS & BLUE SHIELD
VT
01
—
613355
MVP HEALTH PLAN
VT
Enumeration date
08/08/2006
Last updated
09/11/2025
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