Individual
MRS. GREETA MAE SODERHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
76 GLEN RD, BURLINGTON, VT 05401-4131
(802) 864-7467
(802) 864-1619
Mailing address
76 GLEN RD, BURLINGTON, VT 05401-4131
(802) 864-7467
(802) 864-1619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0125896
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VT
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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