Dominic Foti, LCMHC

Individual provider Active NPI Mental Health Counselor · Stowe, VT

NPI 1255898474 · NPPES record last updated Feb 24, 2019

Key facts

NPI
1255898474
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
068.016625 (VT)
Practice address
673 S Main St
Stowe, VT 05672-4595
Phone
(802) 498-5646
NPI assigned
Feb 24, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
068.016625VTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 068.016625 VT Yes

Addresses

Primary practice location

673 S Main St
Stowe, VT 05672-4595

Mailing address

814 Moscow Rd
Stowe, VT 05672-4773

Other providers in Stowe, VT

All providers in Stowe, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.