Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILIP LIGHTBEAR, MA LADC CADC
ActiveMR. PHILIP LIGHTBEAR, MA LADC CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ST JOHNSBURG, Vermont. NPI 1548435696 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ST JOHNSBURG, VT
Registration Details
- NPI Number
- 1548435696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2008 (18.287162251156 yrs)
- Last Updated
- Apr 29, 2008
- License
-
000420 (VT)
Practice Information
- Address
-
108 CHERRY STREET SUITE 1ST JOHNSBURG, VT, 05819Browse VT providers · Browse ZIP 05819
- Phone
- 8027488842
- Fax
- 8027489014
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.