Organization
UNITED COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH PROVENZA (EXECUTIVE DIRECTOR)
(802) 442-5491
Entity
Organization
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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