Provider Demographics
NPI:1073115796
Name:LOSCH, FINLEY J (MA, LCMHC)
Entity Type:Individual
Prefix:
First Name:FINLEY
Middle Name:J
Last Name:LOSCH
Suffix:
Gender:M
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:
Other - Last Name:LOSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:375 NORTH AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-2953
Mailing Address - Country:US
Mailing Address - Phone:802-377-7810
Mailing Address - Fax:
Practice Address - Street 1:70 S WINOOSKI AVE STE 2B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-3969
Practice Address - Country:US
Practice Address - Phone:802-377-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134264101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health