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Individual

SULLIVAN ANTHONY ZARRIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.M.H.C, L.D.A.C

Contact information

Practice address
196 S MAIN ST, BARRE, VT 05641-4811
(802) 622-0683
Mailing address
196 S MAIN ST, BARRE, VT 05641-4811
(802) 622-0683

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000636
VT
101YM0800X
Mental Health Counselor
Primary
068.0090611
VT

Other

Enumeration date
04/17/2015
Last updated
04/17/2015
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