Ann E Larocque, LCMHC

Individual provider Active NPI Professional Counselor · Woodstock, VT

NPI 1972809101 · NPPES record last updated Feb 5, 2011

Key facts

NPI
1972809101
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0680000731 (VT)
Practice address
32 Pleasant St
Woodstock, VT 05091-1122
Phone
(802) 672-1891
NPI assigned
Feb 5, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0680000731VTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0680000731 VT Yes

Addresses

Primary practice location

32 Pleasant St
Woodstock, VT 05091-1122

Mailing address

PO Box 224
Bridgewater, VT 05034-0224
Phone (802) 672-1891

Other providers in Woodstock, VT

All providers in Woodstock, VT · Professional Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.