Active NPIIndividual providerSole proprietor

Ethan W Gilson

Counselor, Addiction (Substance Use Disorder) in Winooski, Vermont

NPI Number1104374826
Practice location
476 Main St, Winooski, VT 05404-1300
Fax
—
Last updated
September 12, 2016

Ethan W Gilson is a Counselor, Addiction (Substance Use Disorder) based in Winooski, VT. Ethan W Gilson practices in Winooski, VT. The NPI Number for Ethan W Gilson is 1104374826 and holds a License No. 000728 (VT). The current practice location address for Ethan W Gilson is 476 Main St, Winooski, VT 05404-1300 and can be reached out via phone at 802-363-1602.

Provider Profile Details

NPI Number
1104374826
Provider Name
Ethan W Gilson
Provider Entity Type
Individual
Gender
Male
Address
476 Main St, Winooski, VT 05404-1300
Phone Number
802-363-1602
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2016
Last Update Date
September 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
476 Main St
Winooski, VT 05404-1300
State
Vermont
Zip
05404-1300
Phone Number
802-363-1602
Winooski, VT 05404Get directions →

Provider Business Mailing Address Details

Address
Po Box 102
Winooski, VT 05404-0102
City
Winooski
State
VT
Zip
05404-0102
Phone Number
802-363-1602

License Information

License Number
000728
License State
VT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan W Gilson?

The NPI number of Ethan W Gilson is 1104374826. It was assigned on September 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Ethan W Gilson?

Ethan W Gilson is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000728.

Where does Ethan W Gilson practice?

The practice location is 476 Main St, Winooski, VT 05404-1300. The office can be reached at 802-363-1602 (phone).

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 1104374826 directly on the NPPES registry website.

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