Individual
CAROLYN A PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 AND ONE HALF MERCHANTS ROW, SUITE 320, RUTLAND, VT 05701
(802) 747-0655
Mailing address
56 AND ONE HALF MERCHANTS ROW, SUITE 320, RUTLAND, VT 05701
(802) 747-0655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000195
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18486
BLUE CROSS BLUE SHIELD
VT
01
—
353353
MVP
VT
01
—
54150
CIGNA
VT
Enumeration date
05/24/2007
Last updated
07/08/2007
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