person
Elvis Lacoste, LADC
Addiction (Substance Use Disorder) Counselor in Rutland, Vermont
NPI 1568987907

Elvis Lacoste is an Addiction (Substance Use Disorder) Counselor based in Rutland, VT and is specialized in Addiction (Substance Use Disorder). Elvis Lacoste practices in Rutland, VT and has the professional credentials of LADC. The NPI Number for Elvis Lacoste is 1568987907 and holds a License No. 1510127405 (Vermont).

The current practice location address for Elvis Lacoste is 135 Granger St, Rutland, VT and can be reached out via phone at 802-747-3588 and via fax at 802-747-7699.

Location: 135 Granger St, Rutland, VT, 05701-4591
person
Provider Profile Details
NPI Number
1568987907
Provider Name
Elvis Lacoste
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
135 Granger St, Rutland, VT, 05701-4591
Phone Number
802-747-3588
Fax Number
802-747-7699
Provider Enumeration Date
08/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
135 Granger St
City
State
Zip
05701-4405
Phone Number
802-747-3588
Fax Number
802-747-7699
person
Provider Business Mailing Address Details
Address
135 Granger St
City
State
Zip
05701-4405
Phone Number
802-747-3588
Fax Number
802-747-7699
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1510127405 (Vermont)
Definition
Definition to come...
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