| Mr Peter Lm Deutsch, | |
|
78 S Main St, Rutland, VT 05701-4530 | |
| (802) 775-8224 | |
| Not Available |
| Full Name | Mr Peter Lm Deutsch |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 78 S Main St, Rutland, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891130449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000559 (Vermont) | Primary |
| Entity Name | Connecticut Valley Addiction Recovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750932646 PECOS PAC ID: 1850710179 Enrollment ID: O20201006000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Lm Deutsch, 135 Granger St, Rutland, VT 05701-4405 Ph: (802) 747-9522 | Mr Peter Lm Deutsch, 78 S Main St, Rutland, VT 05701-4530 Ph: (802) 775-8224 |
Grace Lyle Bruno, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Engrem Ave, Rutland, VT 05701 Phone: 802-287-0523 | |
Karen Sabataso, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 S Main St, Rutland, VT 05701 Phone: 802-775-2381 | |
Kathleen White, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 65 N Main St Ste 3, Rutland, VT 05701 Phone: 802-772-7787 | |
Ms. Denise Margaret Stockwell, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 78 S Main St, Rutland, VT 05701 Phone: 802-775-4388 Fax: 802-775-3307 | |
Ms. Debra L Roberts, LADC, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 128 Merchants Row, Suite 611- 612, Rutland, VT 05701 Phone: 802-786-8008 Fax: 802-786-8008 | |
Dr. Cheryl Mckenzie, PH.D.,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 88 Park St, Rutland, VT 05701 Phone: 802-775-2395 Fax: 802-773-9656 | |
Jessica Daniels, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Allen St, Rutland, VT 05701 Phone: 802-747-3588 |