Individual provider · Type 1 NPI
Tamara M. Derosia, LCMHC
Mental Health Counselor · Hydeville, VT
NPI number
1255598355
Active
Practice location
912 Route 4A W Ste 2
Hydeville, VT 05750-9700
Mailing address
20 Adams St
Fair Haven, VT 05743-1238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0680000742 (VT) |
Mental Health Counselor: Definition to come...
About NPI 1255598355
Tamara M. Derosia, LCMHC's National Provider Identifier is 1255598355, issued on May 18, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hydeville, VT. The record was last updated on Sep 23, 2020.