Individual
MS. DEBRA L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LICSW
Contact information
Practice address
128 MERCHANTS ROW, SUITE 611- 612, RUTLAND, VT 05701-5911
(802) 786-8008
(802) 786-8008
Mailing address
128 MERCHANTS ROW, SUITE 611- 612, RUTLAND, VT 05701-5911
(802) 786-8008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000207
VT
1041C0700X
Clinical Social Worker
Primary
089-0000521
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010145
—
VT
01
—
115219
TEAMSTERS BEHAV. HEALTH
VT
01
—
2172180
CIGNA
VT
01
—
364282
MVP
VT
01
—
589706000
MAGELLAN
VT
01
—
59865
BLUE CROSS,BLUE SHIELD
VT
Enumeration date
11/17/2006
Last updated
09/22/2017
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