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MR. LAWRENCE HAWFIELD WHITE M.ED.,LADC, LCMHC

Addiction Substance Use Disorder

Swanton, Vermont

Provider NPI: 1093772345

Provider Information:
MR. LAWRENCE HAWFIELD WHITE M.ED.,LADC, LCMHC
Gender: M
Sole Proprietor


Practice Location:
725 MAQUAM SHORE RD  SWANTON, VT 05488 US
Tel: 802-238-2962  Fax: 802-524-1465

Business Mailing Address:
PO BOX 203  SAINT ALBANS BAY, VT 05481 US
Tel: 802-238-2962  Fax: 802-524-1465

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
VT000264
X101YM0800XBehavioral Health & Social Service Providers
Counselor
VT068-0000469

Other Provider Identifiers:

IssuerNumberStateType
BCBS29138VT01
MVP350650VT01
CIGNA2025493VT01
VALUOPTIONS'093553VT01
1007029VT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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