Walter Brownsword III, MA, LADC, CS
Psychologist, Counseling in Richmond, VT. Individual provider (NPI-1).
NPI number1124476916
StatusActive
Last updated in NPPESJun 2, 2016
Details
- NPI
- 1124476916
- Entity type
- Individual (NPI-1)
- Name
- Walter Brownsword III
- Credential
- MA, LADC, CS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2016
- Last updated
- Jun 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 694 | VT | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 000030 | VT |
Practice location
112 Jericho RoadRichmond, VT 05477-0361
Phone 802-922-7570
Mailing address
112 Jericho RoadPo Box 361 (If Usps)
Richmond, VT 05477-0361
Phone 802-922-7570
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