person
Mr. Charles Richard Gurney, LICSW,LADC
Addiction (Substance Use Disorder) Counselor in Burlington, Vermont
NPI 1093883365

Charles Richard Gurney is an Addiction (Substance Use Disorder) Counselor based in Isle La Motte, VT and is specialized in Addiction (Substance Use Disorder). Charles Richard Gurney practices in Burlington, VT and has the professional credentials of LICSW,LADC. The NPI Number for Charles Richard Gurney is 1093883365 and holds a License No. 089-0000306 (Vermont).

The current practice location address for Charles Richard Gurney is 31 Main St, Burlington, VT and can be reached out via phone at 802-379-4286. You can also correspond with Charles Richard Gurney through the mailing address at PO BOX 93, ISLE LA MOTTE, VT - 05463-0093 (mailing address contact number: 802-379-4286).

Location: 31 Main St, Burlington, VT, 05463-0093
person
Provider Profile Details
NPI Number
1093883365
Provider Name
Charles Richard Gurney
Credential
LICSW,LADC
Provider Entity Type
Individual
Gender
Male
Address
31 Main St, Burlington, VT, 05463-0093
Phone Number
802-379-4286
Fax Number
Provider Enumeration Date
12/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OVN0754 05 VT
19092 01 VT VT BCBS PIN NUMBER
2029811 01 VT CIGNA PIN NUMBER
933840 01 VT MAGELLAN PIN NUMBER
217818 01 VT MHN PIN NUMBER
1100004 05 VT
45605 01 VT MBC VT PIN NUMBER
093706 01 VT VALUE OPTIONS PIN
61167 01 VT MVP PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
31 Main St
City
State
Zip
05401-8407
Phone Number
802-379-4286
Fax Number
person
Provider Business Mailing Address Details
Address
31 Main St
City
State
Zip
05401-8407
Phone Number
802-379-4286
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000094 (Vermont)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
089-0000306 (Vermont)
Definition
Definition to come...
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