Provider Demographics
NPI:1811074057
Name:HAMEL, WARREN JAMES (LADC, CADC)
Entity type:Individual
Prefix:MR
First Name:WARREN
Middle Name:JAMES
Last Name:HAMEL
Suffix:
Gender:M
Credentials:LADC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:VT
Mailing Address - Zip Code:05465-3129
Mailing Address - Country:US
Mailing Address - Phone:802-858-0027
Mailing Address - Fax:
Practice Address - Street 1:73 MAIN ST
Practice Address - Street 2:SUITE #39
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2932
Practice Address - Country:US
Practice Address - Phone:802-223-6732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000099101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)