| Doctor Name: | MR. JOEL ROSINSKY |
| NPI Number: | 1619279973 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CADC, LADC |
| License Number: | 000215 |
| Business Practice Address: | 4740 Shelburne Rd Suite 102 Shelburne, VT - 054826695 |
| Business Phone Number: | 8024880390 |
| Business Fax Number: | |
| Mailing Address: | 20 Greenfield Rd, Unit C-2 ESSEX JUNCTION |
| State: | VT |
| Postal Code: | 054523943 |
| Phone Number: | 8024880390 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2010 |
| NPI Last Update Date: | 11/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000215 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |