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Individual

ROSE M MYLOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, LCMHC

Contact information

Practice address
14 CHARTER HILL DR, RUTLAND, VT 05701-3750
(802) 768-1279
Mailing address
14 CHARTER HILL DR, RUTLAND, VT 05701-3750
(802) 768-1279

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000618
VT
101YM0800X
Mental Health Counselor
068-0120531
VT

Other

Enumeration date
04/23/2015
Last updated
11/07/2023
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