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BRUCE A BROWN M.S.W.
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1245448356
Individual Registrant: BRUCE A BROWN M.S.W.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
34 PATCHEN RD S BURLINGTON, VT 05403-5704 US
Tel: 802-658-4208 Fax: 802-658-2234
Tel: 802-658-4208 Fax: 802-658-2234
Contact information for business:
131 SOUTH ST ESSEX JCT, VT 05452-3546 US
Tel: 802-760-9427 Fax: --
Tel: 802-760-9427 Fax: --
Registration Information:
NPI: 1245448356
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | VT | 000306 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | VT | 089-0000555 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0VN 1840 | VT | 05 |
