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Contact Information

ROBERT A PELOSI, NCC., LCMHC
610 VERMONT RTE 100
JACKSONVILLE, VT05342
 Phone: 802-368-2220
 Fax: 802-368-2220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ROBERT A PELOSI · (Male)

NPI Number 1578690772
Status Active
Credentials NCC., LCMHC
Entity Individual
Enumeration date 02/27/2007
Last updated 09/13/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 004004
  • VT License # 068.0089265
  • VT Medicaid 1014830
  • VT Other 600499496 BCBS
Hospital affiliation(s) Not Available
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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