person
Mr. Peter A Hathaway, LADC
Addiction (Substance Use Disorder) Counselor in Rutland, Vermont
NPI 1407156318

Peter A Hathaway is an Addiction (Substance Use Disorder) Counselor based in Rutland, VT and is specialized in Addiction (Substance Use Disorder). Peter A Hathaway practices in Rutland, VT and has the professional credentials of LADC. The NPI Number for Peter A Hathaway is 1407156318 and holds a License No. 000467 (Vermont).

The current practice location address for Peter A Hathaway is 135 Granger St, Rutland, VT and can be reached out via phone at 802-747-3588 and via fax at 802-775-7196. You can also correspond with Peter A Hathaway through the mailing address at 135 GRANGER ST, RUTLAND, VT - 05701-4405 (mailing address contact number: 802-747-3588).

Location: 135 Granger St, Rutland, VT, 05701-4405
person
Provider Profile Details
NPI Number
1407156318
Provider Name
Peter A Hathaway
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
135 Granger St, Rutland, VT, 05701-4405
Phone Number
802-747-3588
Fax Number
802-775-7196
Provider Enumeration Date
10/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
135 Granger St
City
State
Zip
05701-4405
Phone Number
802-747-3588
Fax Number
802-775-7196
person
Provider Business Mailing Address Details
Address
135 Granger St
City
State
Zip
05701-4405
Phone Number
802-747-3588
Fax Number
802-775-7196
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000467 (Vermont)
Definition
Definition to come...
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