Individual
ED M WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC/LADC
Contact information
Practice address
172 FAIRFIELD ST, SAINT ALBANS, VT 05478-1743
(802) 488-6265
(802) 488-6919
Mailing address
208 FLYNN AVE, 3-J, BURLINGTON, VT 05401-5429
(802) 488-6900
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0001000
VT
101YM0800X
Mental Health Counselor
068-0000423
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007279
—
VT
Enumeration date
11/09/2006
Last updated
05/20/2011
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