| Doctor Name: | RONALD WOMER |
| NPI Number: | 1932594058 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 104556 |
| Business Practice Address: | 254 Plainfield Rd West Lebanon, NH - 037842001 |
| Business Phone Number: | 6032984136 |
| Business Fax Number: | 6032984139 |
| Mailing Address: | 254 Plainfield Rd, WEST LEBANON |
| State: | NH |
| Postal Code: | 037842001 |
| Phone Number: | 6032984136 |
| Fax Number: | 6032984139 |
| NPI Enumeration Date: | 04/06/2015 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 104556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |