Gregory Henderson
Addiction Counselor (Substance Use Disorder)
39 Fogg Farm Road
Wilder
, Vermont 05088
Gregory Henderson
Addiction Counselor (Substance Use Disorder)
39 Fogg Farm Road
Wilder
, Vermont 05088
(802) 728-4197
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Gregory Henderson
- 11 N Main St
- Randolph, VT
- Zip : 05060-1126
- Fax : (802) 728-4197
- Phone : (802) 728-4466
Second Address
- Gregory Henderson
- 39 Fogg Farm Road
- Wilder, VT
- Zip : 05088
- Fax : (802) 295-1312
- Phone : (802) 295-1311
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 00608 | VT |
National Provider Identifier
| NPI | 1003247958 |
|---|---|
| Provider Name | Gregory Henderson |
| First Address | Randolph, VT 05060-1126 |
| Second Address | Wilder, VT 05088 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.