Individual
AMANDA MARIE HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
23 UPPER PLN, BRADFORD, VT 05033-9016
(802) 222-5201
(802) 222-5901
Mailing address
23 UPPER PLN, BRADFORD, VT 05033-9016
(802) 222-5201
(802) 222-5901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000624
VT
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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