Individual
CATHY W ROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
130 FISHER RD, SUITE 3, BERLIN, VT 05602-9516
(802) 225-5400
(802) 225-5401
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 225-5400
(802) 225-5401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1618
MA
1041C0700X
Clinical Social Worker
Primary
089-0001020
VT
1041C0700X
Clinical Social Worker
1030802
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016766
—
VT
Enumeration date
04/19/2007
Last updated
12/04/2014
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