Individual
MR. RYAN TIMOTHY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC
Contact information
Practice address
132 MAIN ST, MONTPELIER, VT 05602
(802) 489-6710
Mailing address
168 NORTHFIELD ST, MONTPELIER, VT 05602-3333
(802) 249-7260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0124675
VT
1041C0700X
Clinical Social Worker
Primary
089.0084653
VT
Other
Enumeration date
05/22/2018
Last updated
11/15/2018
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