NPI 1023194925

David Pellegrino, LCMHC

Practitioner Mental Health Counselor Randolph, VT

Practice location

Address: 11 S Main St, Randolph, VT 05060-1330
Phone: (802) 728-4466
Fax: (802) 728-4197
Mailing address: 20 Forest St, Randolph, VT 05060-1007

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 068-0000170 (VT)

Other Counselor providers in Vermont →

Registry record

NPI: 1023194925
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.