National Provider Identifier Database

CHLOE LARA RUSSACK
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

CHLOE LARA RUSSACK
186 OLDE ORCHARD LN
SHELBURNE, VT05482-6770
Phone: 617-877-8130
Fax:
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X
Drama Therapist 101200000X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for CHLOE LARA RUSSACK

NPI Number 1780395574
Credentials
Entity Individual
Enumeration date 12/12/2022
Last updated 12/12/2022 - About 3 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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