Individual
RAYMOND ARTHUR YANKLOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
202 N MAIN ST, RUTLAND, VT 05701-2411
(866) 639-9573
Mailing address
77 MCCREA ST, FORT EDWARD, NY 12828-1428
(518) 415-8524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0124297
VT
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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