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Individual

MR. MICHAEL KUCSERIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
45 PLEASANTVIEW ST, MONTPELIER, VT 05602-3718
(802) 585-6137
Mailing address
45 PLEASANTVIEW ST, MONTPELIER, VT 05602-3718
(802) 585-6137

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134082
VT

Other

Enumeration date
08/30/2019
Last updated
08/30/2019
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