Individual
CRAIG SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LICSW
Contact information
Practice address
100 HOSPITALITY DRIVE, BERLIN, VT 05601-0560
(802) 223-4156
Mailing address
PO BOX 487, BROOKFIELD, VT 05036-0487
(802) 276-3726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000331
VT
1041C0700X
Clinical Social Worker
Primary
089.0062986
VT
Other
Enumeration date
12/14/2006
Last updated
06/03/2022
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