Individual
SUZANNE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADC CS
Contact information
Practice address
199 STRATTON RD, RUTLAND, VT 05701-4890
(802) 775-7798
(802) 775-7762
Mailing address
199 STRATTON RD, RUTLAND, VT 05701-4890
(802) 775-7798
(802) 775-7762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
103802
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018281
—
VT
Enumeration date
07/19/2013
Last updated
07/19/2013
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