Doctor Name: | LORI M VADAKIN |
NPI Number: | 1932120458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | 000257 |
Business Practice Address: | 20 West Street N Bennington, VT - 05257 |
Business Phone Number: | 8027336585 |
Business Fax Number: | |
Mailing Address: | 20 West Street, N BENNINGTON |
State: | VT |
Postal Code: | 05257 |
Phone Number: | 8027336585 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 12/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000257 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |