- Practice location
- 39 Fogg Farm Road, Wilder, VT 05088
- Phone
- 802-295-1311
- Fax
- 802-295-1312
- Last updated
- December 3, 2013
Gregory Henderson is a Counselor, Addiction (Substance Use Disorder) based in Wilder, VT. Gregory Henderson practices in Wilder, VT and has the professional credentials of LADC. The NPI Number for Gregory Henderson is 1003247958 and holds a License No. 00608 (VT). The current practice location address for Gregory Henderson is 39 Fogg Farm Road, Wilder, VT 05088 and can be reached out via phone at 802-295-1311 and via fax at 802-295-1312.
Provider Profile Details
- NPI Number
- 1003247958
- Provider Name
- Gregory Henderson
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 39 Fogg Farm Road, Wilder, VT 05088
- Phone Number
- 802-295-1311
- Fax Number
- 802-295-1312
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 3, 2013
- Last Update Date
- December 3, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 Fogg Farm Road
Wilder, VT 05088 - City
- Wilder
- State
- Vermont
- Zip
- 05088
- Phone Number
- 802-295-1311
- Fax Number
- 802-295-1312
Provider Business Mailing Address Details
- Address
- 11 N Main St
Randolph, VT 05060-1126 - City
- Randolph
- State
- VT
- Zip
- 05060-1126
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
License Information
- License Number
- 00608
- License State
- VT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Wilder, VT
View all Counselor, Addiction (Substance Use Disorder) providers in Wilder →- Carly Bryan, MACounselor, Addiction (Substance Use Disorder) · NPI 1669268280
- Courtney Baker, LADCCounselor, Addiction (Substance Use Disorder) · NPI 1689031221
- Jennifer Jones, LADCCounselor, Addiction (Substance Use Disorder) · NPI 1144627340
- Margaret Dunn, LADCCounselor, Addiction (Substance Use Disorder) · NPI 1679979678
Frequently Asked Questions
What is the NPI number of Gregory Henderson, LADC?
The NPI number of Gregory Henderson, LADC is 1003247958. It was assigned on December 3, 2013 and is currently active in the NPPES registry.
What is the specialty of Gregory Henderson, LADC?
Gregory Henderson, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 00608.
Where does Gregory Henderson, LADC practice?
The practice location is 39 Fogg Farm Road, Wilder, VT 05088. The office can be reached at 802-295-1311 (phone) or 802-295-1312 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003247958 directly on the NPPES registry website.