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General NPI Number Information
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NPI Number | 1275414864
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Entity Type | Individual
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Provider Name | NICOLE ROCHELEAU MA, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 138 SMITH RD
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City | COLCHESTER
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State | VT
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Zip | 05446-9604
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Country | US
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Telephone | 802-598-2176
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | COLCHESTER
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State | VT
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Zip | 05446-0054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0136827
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License Number State | VT
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