person
Maryellen Fitzgerald, LADC
Addiction (Substance Use Disorder) Counselor in Rutland, Vermont
NPI 1669813317

Maryellen Fitzgerald is an Addiction (Substance Use Disorder) Counselor based in Rutland, VT and is specialized in Addiction (Substance Use Disorder). Maryellen Fitzgerald practices in Rutland, VT and has the professional credentials of LADC. The NPI Number for Maryellen Fitzgerald is 1669813317 and holds a License No. 000592 (Vermont).

The current practice location address for Maryellen Fitzgerald is 135 Granger St, Rutland, VT and can be reached out via phone at 802-775-8224 and via fax at 802-747-7699.

Location: 135 Granger St, Rutland, VT, 05701-4405
person
Provider Profile Details
NPI Number
1669813317
Provider Name
Maryellen Fitzgerald
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
135 Granger St, Rutland, VT, 05701-4405
Phone Number
802-775-8224
Fax Number
802-747-7699
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000592 01 VT LADC LICENSE
institution
Provider Business Practice Location Address Details
Address
135 Granger St
City
State
Zip
05701-4405
Phone Number
802-775-8224
Fax Number
802-747-7699
person
Provider Business Mailing Address Details
Address
135 Granger St
City
State
Zip
05701-4405
Phone Number
802-775-8224
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.
000592 (Vermont)
Definition
Definition to come...
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