Individual
ANDREA ALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC LCMHC
Contact information
Practice address
5 BANK ST, NORTH BENNINGTON, VT 05257-9102
(802) 392-9979
Mailing address
88 SOUTHSHIRE DR, BENNINGTON, VT 05201-9139
(857) 284-6654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151-0133423
VT
101YM0800X
Mental Health Counselor
Primary
068.0134198
VT
Other
Enumeration date
02/13/2018
Last updated
10/25/2022
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