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Ethan W Gilson
Addiction (Substance Use Disorder) Counselor in Winooski, Vermont
NPI 1104374826

Ethan W Gilson is an Addiction (Substance Use Disorder) Counselor based in Winooski, VT and is specialized in Addiction (Substance Use Disorder). Ethan W Gilson practices in Winooski, VT. The NPI Number for Ethan W Gilson is 1104374826 and holds a License No. 000728 (Vermont).

The current practice location address for Ethan W Gilson is 476 Main St, Winooski, VT and can be reached out via phone at 802-363-1602.

Location: 476 Main St, Winooski, VT, 05404-0102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104374826
Provider Name
Ethan W Gilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
476 Main St, Winooski, VT, 05404-0102
Phone Number
802-363-1602
Fax Number
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
476 Main St
City
Winooski
State
Vermont
Zip
05404-1300
Phone Number
802-363-1602
Fax Number
person
Provider Business Mailing Address Details
Address
476 Main St
City
Winooski
State
Vermont
Zip
05404-1300
Phone Number
802-363-1602
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000728 (Vermont)
Definition
Definition to come...
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