Individual
MR. DONALD RAHELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 482-3358
Mailing address
305 LEDGEWOOD LN, HINESBURG, VT 05461-9546
(802) 482-3358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000087
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008667
—
VT
Enumeration date
07/22/2006
Last updated
07/08/2007
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