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KRISTEN R LOCOCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
12 FAIRFIELD HILL ROAD, ST. ALBANS, VT 05478
(802) 524-1700
(802) 524-1777
Mailing address
12 FAIRFIELD HILL RD, SAINT ALBANS, VT 05478-9634
(802) 524-1700
(802) 524-1777

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000244
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
094408
OPTIONS
VT
05
1007560
VT
01
1060059
CIGNA
VT
01
115274
TEAMSTERS
VT
01
151960000
MEGELLAN
VT
01
21219205781
BEECH STREET
VT
01
246067421
UBH
VT
01
28703
BCBS
VT
01
991062
MVP
VT
Enumeration date
12/28/2006
Last updated
01/28/2013
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