| David Pellegrino, LCMHC | |
|
11 S Main St, Randolph, VT 05060-1330 | |
| (802) 728-4466 | |
| (802) 728-4197 |
| Full Name | David Pellegrino |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 11 S Main St, Randolph, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023194925 | NPI | - | NPPES |
| 1007038 | Medicaid | VT | |
| 19428 | Other | VT | BLUE CROSS |
| 14Y001678VT01 | Other | VT | ANTHEM |
| 1041581 | Other | VT | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 068-0000170 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Pellegrino, LCMHC 20 Forest St, Randolph, VT 05060-1007 Ph: (802) 728-4407 | David Pellegrino, LCMHC 11 S Main St, Randolph, VT 05060-1330 Ph: (802) 728-4466 |
Renee Weeks, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Jessica Schupp, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Main Street, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Howard Hood, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Adam Bindrum, Counselor Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 | |
Kara Rebecca Toms, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Kerrie Taylor, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |