person
David Pellegrino, LCMHC
Mental Health Counselor in Randolph, Vermont
NPI 1023194925

David Pellegrino is a Mental Health Counselor based in Randolph, VT and is specialized in Mental Health. David Pellegrino practices in Randolph, VT and has the professional credentials of LCMHC. The NPI Number for David Pellegrino is 1023194925 and holds a License No. 068-0000170 (Vermont).

The current practice location address for David Pellegrino is 11 S Main St, Randolph, VT and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.

Location: 11 S Main St, Randolph, VT, 05060-1007
person
Provider Profile Details
NPI Number
1023194925
Provider Name
David Pellegrino
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
11 S Main St, Randolph, VT, 05060-1007
Phone Number
802-728-4466
Fax Number
802-728-4197
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007038 05 VT
19428 01 VT BLUE CROSS
14Y001678VT01 01 VT ANTHEM
1041581 01 VT CIGNA
institution
Provider Business Practice Location Address Details
Address
11 S Main St
City
State
Zip
05060-1330
Phone Number
802-728-4466
Fax Number
802-728-4197
person
Provider Business Mailing Address Details
Address
11 S Main St
City
State
Zip
05060-1330
Phone Number
802-728-4466
Fax Number
802-728-4197
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
068-0000170 (Vermont)
Definition
Definition to come...
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