person
Dana Jo La Rose, LICSW,LADC
Mental Health Counselor in Rutland, Vermont
NPI 1457361875

Dana Jo La Rose is a Mental Health Counselor based in Dorset, VT and is specialized in Mental Health. Dana Jo La Rose practices in Rutland, VT and has the professional credentials of LICSW,LADC. The NPI Number for Dana Jo La Rose is 1457361875 and holds a License No. 000141 (Vermont).

The current practice location address for Dana Jo La Rose is 29 Madison St, Rutland, VT and can be reached out via phone at 802-345-9495 and via fax at 802-775-9698.

Location: 29 Madison St, Rutland, VT, 05251-0216
person
Provider Profile Details
NPI Number
1457361875
Provider Name
Dana Jo La Rose
Credential
LICSW,LADC
Provider Entity Type
Individual
Gender
Female
Address
29 Madison St, Rutland, VT, 05251-0216
Phone Number
802-345-9495
Fax Number
802-775-9698
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0VN1124 05 VT
613355 01 VT MVP HEALTH PLAN
19888 01 VT BLUECROSS & BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
29 Madison St
City
State
Zip
05701-5004
Phone Number
802-345-9495
Fax Number
802-775-9698
person
Provider Business Mailing Address Details
Address
29 Madison St
City
State
Zip
05701-5004
Phone Number
802-345-9495
Fax Number
802-775-9698
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
103454 (Vermont)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000141 (Vermont)
Definition
Definition to come...
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