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Individual
KRISTI LYNN PEPOON
Active
Individual
KRISTI LYNN PEPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0124428
VT
1041C0700X
Clinical Social Worker
089.0115546
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031141
—
VT
Enumeration date
07/13/2017
Last updated
07/21/2022
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