Individual
JEREMY ASHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 775-8224
(802) 747-7699
Mailing address
135 GRANGER ST, RUTLAND, VT 05701-4405
(802) 775-8224
(802) 747-7699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000580
VT
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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