Individual
TOM HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3798
Mailing address
1 ANNA MARSH LANE, BRATTLEBORO, VT 05302-0101
(802) 257-7785
(802) 258-3798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0126411
VT
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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