Individual
MR. PAUL ALAN BRODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, MS
Contact information
Practice address
136 N MAIN ST STE 1, BARRE, VT 05641-4118
(802) 224-6424
Mailing address
136 N MAIN ST STE 1, BARRE, VT 05641-4118
(802) 224-6424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000717
VT
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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