Individual
LACEY HABERSTROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 TOWN CRIER DR, BRATTLEBORO, VT 05301-8669
(802) 689-8900
Mailing address
58 SPRING ST APT 1A, KEENE, NH 03431-3493
(603) 266-9718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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