| Elvis Lacoste, LADC | |
|
135 Granger St, Rutland, VT 05701-4405 | |
| (802) 747-3588 | |
| (802) 747-7699 |
| Full Name | Elvis Lacoste |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 135 Granger St, Rutland, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568987907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1510127405 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elvis Lacoste, LADC 78 S Main St, Rutland, VT 05701-4591 Ph: (802) 775-8224 | Elvis Lacoste, LADC 135 Granger St, Rutland, VT 05701-4405 Ph: (802) 747-3588 |
Kathleen White, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 65 N Main St Ste 3, Rutland, VT 05701 Phone: 802-772-7787 | |
Ms. Debra L Roberts, LADC, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 128 Merchants Row, Suite 611- 612, Rutland, VT 05701 Phone: 802-786-8008 Fax: 802-786-8008 | |
Dr. Cheryl Mckenzie, PH.D.,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 88 Park St, Rutland, VT 05701 Phone: 802-775-2395 Fax: 802-773-9656 | |
Jessica Daniels, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Allen St, Rutland, VT 05701 Phone: 802-747-3588 | |
Peter Michael Mahar, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Merchants Row, Office 602, Rutland, VT 05701 Phone: 802-773-1411 Fax: 802-773-9811 | |
Catherine Elizabeth Johnson, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Allen St Ste 202, Rutland, VT 05701 Phone: 802-446-3577 | |
Barbara Roberts, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Court Sq, Rutland, VT 05701 Phone: 802-775-4388 Fax: 802-775-3307 |