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Organization
PISGAH RECOVERY, LLC
Active
Organization
PISGAH RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ANTHONY STRANGE L.A.D.A.C. (COUNSELOR)
(802) 467-8531
Entity
Organization
Contact information
Practice address
6385 VT ROUTE 5A, ORLEANS, VT 05860-9340
(802) 467-8531
Mailing address
6385 VT ROUTE 5A, ORLEANS, VT 05860-9340
(802) 467-8531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134046
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151.0134046
STATE LICENSE NUMBER
VT
Enumeration date
05/03/2018
Last updated
06/16/2018
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