Provider Demographics
NPI:1508181215
Name:ZOCCHI, THERESE MARIE (LCMHC)
Entity Type:Individual
Prefix:
First Name:THERESE
Middle Name:MARIE
Last Name:ZOCCHI
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 1:2 MORSE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05156-3246
Mailing Address - Country:US
Mailing Address - Phone:802-952-8013
Mailing Address - Fax:802-885-4719
Practice Address - Street 1:18 THE SQ
Practice Address - Street 2:SUITE 20
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-1380
Practice Address - Country:US
Practice Address - Phone:802-952-8013
Practice Address - Fax:802-885-4719
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1019122Medicaid