George, Derek Andrew

George, Derek Andrew is an individual health care provider with primary practice located at 55 Joy Dr , South Burlington VT 05403-6119. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. George, Derek Andrew can be contacted via phone (802) 658-6111.

Contact Information

Primary practice address
55 Joy Dr South Burlington VT 05403-6119
Phone: (802) 658-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000391 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0000978 Vermont

Profile Details

NPI number 1790078707
LBN Legal business name George, Derek Andrew
Credentials LICSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2011
Last updated May 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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