Provider Demographics
NPI:1205256542
Name:HUNTINGTON, WILLIAM STILES
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:STILES
Last Name:HUNTINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 RAILROAD ST
Mailing Address - Street 2:PO BOX 812
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-1647
Mailing Address - Country:US
Mailing Address - Phone:802-748-1511
Mailing Address - Fax:802-751-1515
Practice Address - Street 1:560 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-1647
Practice Address - Country:US
Practice Address - Phone:802-751-1511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0053993101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health