Individual provider · Type 1 NPI

Philip Lightbear, MA LADC CADC

Addiction (Substance Use Disorder) Counselor · St. Johnsburg, VT

NPI number 1548435696 Active

Practice location

108 Cherry Street Suite 1
St. Johnsburg, VT 05819

Call (802) 748-8842 Map

Fax (802) 748-9014

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000420 (VT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

About NPI 1548435696

Philip Lightbear, MA LADC CADC's National Provider Identifier is 1548435696, issued on Apr 29, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Johnsburg, VT. The record was last updated on Apr 29, 2008.