| Glenn Bomberger, LADC | |
|
100 Hospitality Drive, Berlin, VT 05641 | |
| (802) 223-4156 | |
| (802) 223-4332 |
| Full Name | Glenn Bomberger |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 Hospitality Drive, Berlin, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497206585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0124410 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Bomberger, LADC Po Box G, Randolph, VT 05060-0167 Ph: (802) 728-4466 | Glenn Bomberger, LADC 100 Hospitality Drive, Berlin, VT 05641 Ph: (802) 223-4156 |
Elizabeth E Thompson, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-479-1476 | |
Amanda Marie Galloway, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 | |
Debra K Wucik, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Hospitality Drive, Berlin, VT 05602 Phone: 802-223-4156 Fax: 802-223-4332 | |
Jason Herbert Fechter, LPMA Counselor Medicare: Medicare Enrolled Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Mr. Charles R Keinath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80247 91759 Airport Rd, Berlin, VT 05602 Phone: 802-479-1759 | |
Tracy Hobbs-johnson, PMHNP-BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-479-0014 | |
Alycia Post, LCMHC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 |