Provider Demographics
NPI:1902502966
Name:PERRETTA, MERIN (LCMHC)
Entity Type:Individual
Prefix:
First Name:MERIN
Middle Name:
Last Name:PERRETTA
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8113
Mailing Address - Country:US
Mailing Address - Phone:802-673-7741
Mailing Address - Fax:
Practice Address - Street 1:7 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2870
Practice Address - Country:US
Practice Address - Phone:802-673-7741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0135089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health