# MS. JOAN KUNDIN DOUBLEDAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134219678
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 181 | VT | — |
| 101YM0800X | Mental Health Counselor | 239 | NH | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1010107 | — | VT |
| 01 | — | 181 | LICENSE \# | VT |
| 01 | — | 239 | LICENSE \# | NH |
| 05 | — | 30007245 | — | NH |
| 01 | — | DOUB09984 | BC/BS OF VT ID\# | VT |