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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMARA M DEROSIA, LCMHC

Active Sole Proprietor

TAMARA M DEROSIA, LCMHC is a Mental Health Counselor healthcare provider located in HYDEVILLE, Vermont. NPI 1255598355 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · HYDEVILLE, VT

Registration Details

NPI Number
1255598355
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2008 (18.263821616035 yrs)
Last Updated
Sep 23, 2020
License
0680000742 (VT)
Sole Proprietor
Yes

Practice Information

Address
912 ROUTE 4A W STE 2
HYDEVILLE, VT, 057509700
Browse VT providers · Browse ZIP 05750
Phone
8025583477
Primary Specialty
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.