Individual provider · Type 1 NPI
Peter A. Hathaway, LADC
Addiction (Substance Use Disorder) Counselor · Rutland, VT
NPI number
1407156318
Active
Practice location
135 Granger St
Rutland, VT 05701-4405
Fax (802) 775-7196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000467 (VT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407156318
Peter A. Hathaway, LADC's National Provider Identifier is 1407156318, issued on Oct 26, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rutland, VT. The record was last updated on Oct 26, 2010.