Individual
TIMOTHY O MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
208 FLYNN AVE, 3-J, BURLINGTON, VT 05401-5429
(802) 859-1230
(802) 660-3665
Mailing address
208 FLYNN AVE, 3-J, BURLINGTON, VT 05401-5429
(802) 859-1230
(802) 660-3665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000170
VT
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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