Individual provider · Type 1 NPI

Greeta Mae Soderholm, LICSW, LADC

Addiction (Substance Use Disorder) Counselor · Burlington, VT

NPI number 1609381094 Active

Practice location

76 Glen Rd
Burlington, VT 05401-4131

Call (802) 864-7467 Map

Fax (802) 864-1619

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X151.0125896 (VT)

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

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About NPI 1609381094

Greeta Mae Soderholm, LICSW, LADC's National Provider Identifier is 1609381094, issued on Dec 6, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Burlington, VT. The record was last updated on Dec 6, 2017.