Individual
THOMAS J HALLIGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 CRAWFORD ROAD, DERBY, VT 05829
(802) 334-6744
Mailing address
1197 VT ROUTE 114 S, NORTON, VT 05907-9709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0126525
VT
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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