Provider Demographics
NPI:1295231165
Name:STRANGE, JAMES ANTHONY (LADAC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ANTHONY
Last Name:STRANGE
Suffix:
Gender:M
Credentials:LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6385 VT ROUTE 5A
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:VT
Mailing Address - Zip Code:05860-9340
Mailing Address - Country:US
Mailing Address - Phone:802-467-8531
Mailing Address - Fax:
Practice Address - Street 1:6385 VT ROUTE 5A
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:VT
Practice Address - Zip Code:05860-9340
Practice Address - Country:US
Practice Address - Phone:802-467-8531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2018-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT151.0134046101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)