Individual
KARINNE COMENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LICSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0127940
VT
1041C0700X
Clinical Social Worker
Primary
089.0124238
VT
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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