Individual provider · Type 1 NPI

Elvis Lacoste, LADC

Addiction (Substance Use Disorder) Counselor · Rutland, VT

NPI number 1568987907 Active

Practice location

135 Granger St
Rutland, VT 05701-4405

Call (802) 747-3588 Map

Fax (802) 747-7699

Mailing address

78 S Main St
Rutland, VT 05701-4591

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1510127405 (VT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1568987907

Elvis Lacoste, LADC's National Provider Identifier is 1568987907, issued on Aug 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rutland, VT. The record was last updated on Aug 7, 2017.