Individual
MR. BRAD M SEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LCMHC RN
Contact information
Practice address
49 SCHOOL STREET, HARTFORD, VT 05047
(802) 295-3031
(802) 295-0820
Mailing address
P.O. BOX 709, HARTFORD, VT 05047-0709
(802) 295-3031
(802) 295-0820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0000560
VT
163W00000X
Registered Nurse
026.0067516
VT
163W00000X
Registered Nurse
064206-21
NH
Other
Enumeration date
11/21/2006
Last updated
11/21/2022
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