Individual
MR. PETER A HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 747-3588
(802) 775-7196
Mailing address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 747-3588
(802) 775-7196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000467
VT
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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