Individual
CATHERINE ROSSI
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
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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