Individual provider · Type 1 NPI
Marc Dutkiewicz, LADC
Addiction (Substance Use Disorder) Counselor · St. Albans, VT
NPI number
1275079121
Active
Practice location
132 S Main St Apt 2
St. Albans, VT 05478-1891
Mailing address
12 Fairfax St
St. Albans, VT 05478-5122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000066 (VT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275079121
Marc Dutkiewicz, LADC's National Provider Identifier is 1275079121, issued on Jan 17, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Albans, VT. The record was last updated on Jan 17, 2017.