Individual
WALTER BROWNSWORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LADC, CS
Contact information
Practice address
112 JERICHO ROAD, RICHMOND, VT 05477-0361
(802) 922-7570
Mailing address
112 JERICHO ROAD, PO BOX 361 (IF USPS), RICHMOND, VT 05477-0361
(802) 922-7570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000030
VT
103TC1900X
Counseling Psychologist
Primary
694
VT
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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