Individual
MR. BRADFORD MARSHALL HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
38 DORSET VILLAGE LN, DORSET, VT 05251
(802) 867-7070
Mailing address
PO BOX 722, EAST DORSET, VT 05253-0722
(802) 867-7070
(802) 362-9924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
068-0000389
VT
101YM0800X
Mental Health Counselor
Primary
0680000389
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006836
—
VT
Enumeration date
05/13/2008
Last updated
06/24/2011
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