| Gregory Henderson, LADC | |
|
39 Fogg Farm Road, Wilder, VT 05088 | |
| (802) 295-1311 | |
| (802) 295-1312 |
| Full Name | Gregory Henderson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 39 Fogg Farm Road, Wilder, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003247958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00608 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Henderson, LADC 11 N Main St, Randolph, VT 05060-1126 Ph: (802) 728-4466 | Gregory Henderson, LADC 39 Fogg Farm Road, Wilder, VT 05088 Ph: (802) 295-1311 |
Jennifer Jones, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Fogg Farm Road, Wilder, VT 05088 Phone: 802-728-4466 Fax: 802-728-4197 | |
Margaret Dunn, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Fogg Farm Road, Wilder, VT 05088 Phone: 802-295-1311 Fax: 802-295-1312 | |
Courtney Baker, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Fogg Farm Road, Wilder, VT 05088 Phone: 802-295-1311 Fax: 802-295-1312 | |
Mr. Daniel Paul Roden, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Jamie Dr., Wilder, VT 05088 Phone: 603-320-6048 |