Individual
REBECCA LYNN RIDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
3414 VT ROUTE 109, WATERVILLE, VT 05492-9546
(802) 521-5550
Mailing address
3414 VT ROUTE 109, WATERVILLE, VT 05492-9546
(802) 521-5550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0065893
VT
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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