Organization
JANINE F. SMALL INC
Active
Other names
Crossroads Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE SMALL LICSW (PRESIDENT)
(802) 773-3352
Entity
Organization
Contact information
Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3352
(802) 774-6245
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 773-3352
(802) 774-6245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000979
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068520
BCBS INDIVIDUAL PROVIDER
VT
05
—
1010436
—
VT
01
—
382115
MVP PROVIDER NUMBER
VT
Enumeration date
02/12/2007
Last updated
08/22/2020
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