Stephanie Larock, LADC | |
172 Fairfield Street, St Albans, VT 05478 | |
(802) 488-6000 | |
(802) 488-6919 |
Full Name | Stephanie Larock |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 172 Fairfield Street, St Albans, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235815176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0134169 (Vermont) | Primary |
Entity Name | Howardcenter, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639267404 PECOS PAC ID: 3072403831 Enrollment ID: O20041029000184 |
Mailing Address | Practice Location Address |
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Stephanie Larock, LADC 208 Flynn Avenue Ste 3j, Burlington, VT 05401 Ph: (802) 488-6920 | Stephanie Larock, LADC 172 Fairfield Street, St Albans, VT 05478 Ph: (802) 488-6000 |
Mrs. Holly S Wakefield, LCMHC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Fairfield St, St Albans, VT 05478 Phone: 802-524-8747 | |
Ms. Julie M Parker, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Ms. Deborah T Patton, MA LADC LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Fairfield St, St Albans, VT 05478 Phone: 802-488-6265 Fax: 802-488-6919 | |
Mr. Anthony J Stevens, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Ms. Deborah B Shell, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 | |
Ms. Eleni Randos, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, St Albans, VT 05478 Phone: 802-524-6555 Fax: 802-524-6562 |