Individual
MARC D. RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, LADC, CADC
Contact information
Practice address
2 CHURCH ST, SUITE 3G, BURLINGTON, VT 05401-4299
(866) 429-2074
(802) 540-8199
Mailing address
268 CARPENTER RD, CHARLOTTE, VT 05445-9281
(802) 425-7771
(802) 540-8199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000372
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
103704
VT
1041C0700X
Clinical Social Worker
Primary
089-0000658
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2410
—
VT
Enumeration date
02/02/2007
Last updated
11/30/2018
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