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Individual

JEFF ROTHENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHC

Contact information

Practice address
9 HEATON ST, MONTPELIER, VT 05602-2489
(802) 223-6328
(802) 229-8004
Mailing address
149 HOWES RD, MORETOWN, VT 05660-4412
(802) 496-2699

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000507
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007431
VT
01
2183012
CIGNA
VT
Enumeration date
10/10/2006
Last updated
07/21/2022
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