MEDICARE: MS. CAROLYN S ALOISI 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	068-0000745	VT

General Provider Information

NPI Number	:	1104016914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN S ALOISI LCMHC

Provider Business Mailing Address
First Line	:	117 WATERFORD LN
Second Line	:
City	:	NORTH SPRINGFIELD
State	:	VT
Zip	:	05150-4401
Country	:	US
Telephone Number	:	802-886-2008
Fax Number	:	802-885-5720

Provider Business Practice Location Address
First Line	:	117 WATERFORD LN
Second Line	:
City	:	NORTH SPRINGFIELD
State	:	VT
Zip	:	05150-4401
Country	:	US
Telephone Number	:	802-886-2008
Fax Number	:	802-885-5720

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

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	08/26/2009

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