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NPI Code Detail

MEDICARE: ANDREA J ALLI COUNSELING PLLC

MEDICARE: ANDREA J ALLI COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1427775998
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREA J ALLI COUNSELING PLLC
Provider Business Mailing Address
First Line : 88 SOUTHSHIRE DR
Second Line :
City : BENNINGTON
State : VT
Zip : 05201-9139
Country : US
Telephone Number : 857-284-6654
Fax Number :
Provider Business Practice Location Address
First Line : 5 BANK ST
Second Line :
City : NORTH BENNINGTON
State : VT
Zip : 05257-9102
Country : US
Telephone Number : 802-392-9979
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANDREA ALLI
Credential : LCMHC LADC
Telephone Number : 857-284-6654
Provider Enumeration Date : 10/25/2022
Last Update Date : 10/25/2022

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