Provider Demographics
NPI:1306331160
Name:AARTS, JOHN S (LADC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:S
Last Name:AARTS
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:MR
Other - First Name:JACK
Other - Middle Name:S
Other - Last Name:AARTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:VT
Mailing Address - Zip Code:05655-0147
Mailing Address - Country:US
Mailing Address - Phone:802-851-8081
Mailing Address - Fax:802-888-9642
Practice Address - Street 1:951 VT 15 E
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:VT
Practice Address - Zip Code:05655-9319
Practice Address - Country:US
Practice Address - Phone:802-851-8081
Practice Address - Fax:802-888-9642
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT151.0124528101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)