Provider Demographics
NPI:1619279973
Name:ROSINSKY, JOEL (CADC, LADC)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:
Last Name:ROSINSKY
Suffix:
Gender:M
Credentials:CADC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GREENFIELD RD
Mailing Address - Street 2:UNIT C-2
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3943
Mailing Address - Country:US
Mailing Address - Phone:802-488-0390
Mailing Address - Fax:
Practice Address - Street 1:4740 SHELBURNE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6695
Practice Address - Country:US
Practice Address - Phone:802-488-0390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000215101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)