Mr. Philip Lightbear, MALADCCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548435696

Mr. Philip Lightbear, MALADCCADC is an Addiction (Substance Use Disorder) Counselor in St Johnsburg, Vermont. Licensed in Vermont. Registered with an NPI since 2008.

Licensed in: VT
In the registry since: 2008

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Practice location Address checks out

108 Cherry St Ste 1
St Johnsburg, VT 05819
Phone: (802) 748-8842
Fax: (802) 748-9014

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence 000420 (VT)

Record details

NPI number	1548435696
Entity type	Individual (Type 1)
Gender	Male
Credentials	MALADCCADC
Sole proprietor	No
NPI enumerated	April 29, 2008
Last updated in NPPES	April 29, 2008
Mailing address	108 Cherry Street Suite 1, St Johnsburg, VT 05819