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General NPI Number Information
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NPI Number | 1073430096
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICE OF ADDISON COUNTY, INC
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 290 ROUTE 7 N
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8787
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Country | US
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Telephone | 802-398-2007
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Fax | 802-388-8184
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Provider Business Mailing Address
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Address Line | 89 MAIN ST
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City | MIDDLEBURY
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State | VT
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Zip | 05753-1483
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Country | US
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Telephone | 802-388-6751
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Fax | 802-388-1868
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Authorized Official
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Title or Position | CLIENT HEALTH OPER & BILLING MGR
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Name | EMILY ANN VANDEWEERT
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Credential |
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Telephone | 802-388-6751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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