| Crossroads Counseling Center | |
|
215 Stratton Rd Rutland VT 05701-4621 | |
| (802) 773-3352 | |
| (802) 774-6245 |
| Full Name | Crossroads Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 215 Stratton Rd, Rutland, Vermont |
| Authorized Official Name and Position | Janine Small (PRESIDENT) |
| Authorized Official Contact | 8027733352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Center 215 Stratton Rd Rutland VT 05701-4621 Ph: (802) 773-3352 | Crossroads Counseling Center 215 Stratton Rd Rutland VT 05701-4621 Ph: (802) 773-3352 |
| NPI Number | 1497897276 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497897276 | NPI | - | NPPES |
| 1010436 | Medicaid | VT | |
| 00068520 | Other | VT | BCBS INDIVIDUAL PROVIDER |
| 382115 | Other | VT | MVP PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089-0000979 (Vermont) | Primary |
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