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Gregory Henderson, LADC
Addiction (Substance Use Disorder) Counselor in Wilder, Vermont
NPI 1003247958

Gregory Henderson is an Addiction (Substance Use Disorder) Counselor based in Randolph, VT and is specialized in Addiction (Substance Use Disorder). 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 (Vermont).

The current practice location address for Gregory Henderson is 39 Fogg Farm Road, Wilder, VT and can be reached out via phone at 802-295-1311 and via fax at 802-295-1312.

Location: 39 Fogg Farm Road, Wilder, VT, 05060-1126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 05060-1126
Phone Number
802-295-1311
Fax Number
802-295-1312
Provider Enumeration Date
12/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39 Fogg Farm Road
City
Wilder
State
Vermont
Zip
05088
Phone Number
802-295-1311
Fax Number
802-295-1312
person
Provider Business Mailing Address Details
Address
39 Fogg Farm Road
City
Wilder
State
Vermont
Zip
05088
Phone Number
802-295-1311
Fax Number
802-295-1312
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
00608 (Vermont)
Definition
Definition to come...
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