Individual
MS. SHANNON J RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC
Contact information
Practice address
141 MOUNT PLEASANT ST, ST JOHNSBURY, VT 05819-1139
(802) 793-2853
Mailing address
2236 JONES RD, HYDE PARK, VT 05655-9586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VT
Other
Enumeration date
01/05/2019
Last updated
09/28/2022
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