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Organization

PISGAH RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES ANTHONY STRANGE L.A.D.A.C. (COUNSELOR)
(802) 467-8531
Entity
Organization

Contact information

Practice address
6385 VT ROUTE 5A, ORLEANS, VT 05860-9340
(802) 467-8531
Mailing address
6385 VT ROUTE 5A, ORLEANS, VT 05860-9340
(802) 467-8531

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134046
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151.0134046
STATE LICENSE NUMBER
VT
Enumeration date
05/03/2018
Last updated
06/16/2018
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