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Individual

MR. CHARLES SCOTT EARISMAN

Active
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Individual

MR. CHARLES SCOTT EARISMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000067
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
068-0000427
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007109
VT
Enumeration date
11/10/2006
Last updated
12/16/2010
About Stedi
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