Individual
ANDREW K NUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 428-4197
Mailing address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 428-4197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000521
VT
101YM0800X
Mental Health Counselor
Primary
068-0050720
VT
Other
Enumeration date
06/02/2009
Last updated
12/23/2015
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