NPI: 1083997563
Provider Name: FORENSIC CONSULTATION & COUNSELING SERVICE
Other Name: FORENSIC CONSULTATION & COUNSELING SERVICE, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization
Specialization: Addiction (Substance Use Disorder)
CLIA Number: 47D2244208
Address:
135 GRANGER ST
RUTLAND, VT
ZIP 05701
Phone: (802) 772-0700
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FORENSIC CONSULTATION & COUNSELING SERVICE is an addiction (substance use disorder) counselor in Rutland, VT. FORENSIC CONSULTATION & COUNSELING SERVICE NPI is 1083997563. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Forensic Consultation & Counseling Service, Llc.
The provider's business location address is:
135 GRANGER ST
RUTLAND, VT
ZIP 05701-405
Phone: (802) 772-0700
Fax: (802) 771-8009
The provider's authorized official is Christopher Chadwick .
The authorized official title is Director and has the following contact phone number (802) 772-0700.
The CLIA number assigned to this NPI record is 47D2244208 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/21/2011 and was last updated on 1/6/2022.