Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN BOMBERGER, LADC
Active Sole ProprietorGLENN BOMBERGER, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BERLIN, Vermont. NPI 1497206585 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BERLIN, VT
Registration Details
- NPI Number
- 1497206585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2016 (9.7834908972027 yrs)
- Last Updated
- Oct 24, 2016
- License
-
151.0124410 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 HOSPITALITY DRIVEBERLIN, VT, 05641Browse VT providers · Browse ZIP 05641
- Phone
- 8022234156
- Fax
- 8022234332
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BERLIN, VT
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES R KEINATH | — | 1265670327 |
| DEBRA K WUCIK | LADC | 1063781649 |
| JENNIFER E PELLETIER | LADC | 1932532959 |
| NANCY KENYON RICHARDSON | LCMHC | 1811362619 |
| ZOE RENEE PERRY | — | 1396635207 |
| BRIDGET EFUA MARTIN | MPH | 1235007980 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.