NPI 1063781649

Debra K Wucik, LADC

Practitioner Addiction (Substance Use Disorder) Counselor Berlin, VT

Practice location

Address: 100 Hospitality Drive, Berlin, VT 05602
Phone: (802) 223-4156
Fax: (802) 223-4332
Mailing address: PO Box G, Randolph, VT 05060-0167

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 000558 (VT)

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Registry record

NPI: 1063781649
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2011
Record last updated: 28 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.