Individual
ROGER P GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4567
(802) 886-4520
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4567
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000539
VT
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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