Provider Demographics
NPI:1437244928
Name:RHOADES, DON WILLIAM (MA)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:WILLIAM
Last Name:RHOADES
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FAYSTON
Mailing Address - State:VT
Mailing Address - Zip Code:05673
Mailing Address - Country:US
Mailing Address - Phone:802-583-1092
Mailing Address - Fax:802-223-1314
Practice Address - Street 1:138 MAIN STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602
Practice Address - Country:US
Practice Address - Phone:802-223-8642
Practice Address - Fax:802-223-1314
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000205101YA0400X
VT0680000400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health