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Individual

CATHERINE ROSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW LADC

Contact information

Practice address
2858 PINE HILL RD, NEWPORT, VT 05855-9293
(802) 624-0896
Mailing address
2858 PINE HILL RD, PO BOX 983, NEWPORT, VT 05855-9293

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000557
VT
1041C0700X
Clinical Social Worker
Primary
089.0082044
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12694692
CAQH PROVIDER ID
Enumeration date
06/22/2014
Last updated
06/22/2014
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