Provider Demographics
NPI:1104051903
Name:ROZUM, AIMEE E (LMHC, LCMHC, ATR-BC)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:E
Last Name:ROZUM
Suffix:
Gender:F
Credentials:LMHC, LCMHC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1598
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05851-1598
Mailing Address - Country:US
Mailing Address - Phone:774-216-6522
Mailing Address - Fax:
Practice Address - Street 1:3088 E BURKE RD
Practice Address - Street 2:
Practice Address - City:LYNDONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05851-0585
Practice Address - Country:US
Practice Address - Phone:774-216-6522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5292101YM0800X
VT068.0134251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health