Mr. Philip Lightbear, MA LADC CADC
Counselor, Addiction (Substance Use Disorder) in St Johnsburg, Vermont
1548435696- Practice location
- 108 Cherry Street Suite 1, St Johnsburg, VT 05819
- Phone
- 802-748-8842
- Fax
- 802-748-9014
- Last updated
- April 29, 2008
Philip Lightbear is a Counselor, Addiction (Substance Use Disorder) based in St Johnsburg, VT. Philip Lightbear practices in St Johnsburg, VT and has the professional credentials of MA LADC CADC. The NPI Number for Philip Lightbear is 1548435696 and holds a License No. 000420 (VT). The current practice location address for Philip Lightbear is 108 Cherry Street Suite 1, St Johnsburg, VT 05819 and can be reached out via phone at 802-748-8842 and via fax at 802-748-9014.
Provider Profile Details
- NPI Number
- 1548435696
- Provider Name
- Philip Lightbear
- Credential
- MA LADC CADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 108 Cherry Street Suite 1, St Johnsburg, VT 05819
- Phone Number
- 802-748-8842
- Fax Number
- 802-748-9014
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 29, 2008
- Last Update Date
- April 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 108 Cherry Street Suite 1
St Johnsburg, VT 05819 - City
- St Johnsburg
- State
- Vermont
- Zip
- 05819
- Phone Number
- 802-748-8842
- Fax Number
- 802-748-9014
Provider Business Mailing Address Details
- Address
- 108 Cherry Street Suite 1
St Johnsburg, VT 05819 - City
- St Johnsburg
- State
- VT
- Zip
- 05819
- Phone Number
- 802-748-8842
- Fax Number
- 802-748-9014
License Information
- License Number
- 000420
- License State
- VT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near St Johnsburg, VT
View all Counselor, Addiction (Substance Use Disorder) providers in St Johnsburg →Frequently Asked Questions
What is the NPI number of Mr. Philip Lightbear, MA LADC CADC?
The NPI number of Mr. Philip Lightbear, MA LADC CADC is 1548435696. It was assigned on April 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Philip Lightbear, MA LADC CADC?
Mr. Philip Lightbear, MA LADC CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000420.
Where does Mr. Philip Lightbear, MA LADC CADC practice?
The practice location is 108 Cherry Street Suite 1, St Johnsburg, VT 05819. The office can be reached at 802-748-8842 (phone) or 802-748-9014 (fax).
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 1548435696 directly on the NPPES registry website.