MEDICARE: FINLEY J LOSCH MA, LCMHC

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
1	101YM0800X	Mental Health Counselor	068.0134264	VT

General Provider Information

NPI Number	:	1073115796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FINLEY J LOSCH MA, LCMHC

Provider Business Mailing Address
First Line	:	375 NORTH AVE APT 401
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-2953
Country	:	US
Telephone Number	:	802-377-7810
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 S WINOOSKI AVE STE 2B
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-3969
Country	:	US
Telephone Number	:	802-377-7810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	11/09/2020

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