Individual
MS. CAROLINE SIRAJ PALETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCMHC RDT
Contact information
Practice address
160 WALL STREET, SPRINGFIELD, VT 05156-3528
(435) 659-0761
(802) 885-1600
Mailing address
1009 POPPLE DUNGEON ROAD, CHESTER, VT 05143-8931
(802) 875-4592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000275
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007755
—
VT
01
—
29525
BCBS OF VT
VT
Enumeration date
06/12/2007
Last updated
07/08/2007
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