Individual
MR. CHRISTOPHER CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADC, AFC, CASAC
Contact information
Practice address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 772-0700
(802) 771-8009
Mailing address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 772-0700
(802) 771-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000447
VT
101YP2500X
Professional Counselor
000447
VT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019731
—
VT
Enumeration date
01/05/2009
Last updated
05/30/2019
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