Individual
MS. LYRESSA R. OSGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
67 THACHER RD, RICHMOND, VT 05477-9706
(802) 399-8141
Mailing address
67 THACHER RD, RICHMOND, VT 05477-9706
(802) 399-8141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000343
VT
1041C0700X
Clinical Social Worker
Primary
089-0000752
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007914
—
VT
Enumeration date
01/05/2007
Last updated
10/11/2023
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