Rogow, Priscilla Jane
Rogow, Priscilla Jane is an sole proprietor health care provider with primary practice located at 111 S Main St #2, Saint Albans VT 05478-1818. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Rogow, Priscilla Jane can be contacted via phone (802) 524-7387.Contact Information
Primary practice address
111 S Main St #2
Saint Albans VT 05478-1818
Phone: (802) 524-7387
Fax: (802) 933-7749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 103525 | Vermont |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000526 | Vermont |
Profile Details
| NPI number | 1366590028 |
|---|---|
| LBN Legal business name | Rogow, Priscilla Jane |
| Credentials | LCMHC, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366590028 | NPPES |
| Vermont | MEDICAID | 1007623 |
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