Individual
MR. CLAYTON N GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 747-3588
(802) 775-7196
Mailing address
29 WILLIAMS ST, RUTLAND, VT 05701-3231
(802) 773-7973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000085
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58340
BC/BS
VT
Enumeration date
11/01/2006
Last updated
07/08/2007
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