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
101YM0800X
Mental Health Counselor
—
—
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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