Individual
MR. PETER BERT HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
87 PAINE MOUNTAIN DR, NORTHFIELD, VT 05663-5791
(802) 485-4161
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
089.0134266
VT
1041C0700X
Clinical Social Worker
3830
CT
Other
Enumeration date
02/16/2017
Last updated
09/04/2025
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