Provider Demographics
NPI:1275919011
Name:BARTSHE, JAMES AARON (LADC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:AARON
Last Name:BARTSHE
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 LAKE HORTONIA ROAD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05733
Mailing Address - Country:US
Mailing Address - Phone:802-768-1732
Mailing Address - Fax:
Practice Address - Street 1:146 LAKE HORTONIA ROAD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:VT
Practice Address - Zip Code:05733
Practice Address - Country:US
Practice Address - Phone:802-768-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000662101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)