Individual
CRYSTAL DAWN LEBOEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1097 MAIN ST, SAINT JOHNSBURY, VT 05819-2646
(802) 255-8788
(802) 200-0493
Mailing address
PO BOX 65, SAINT JOHNSBURY, VT 05819-0065
(802) 255-8788
(802) 200-0493
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0122541
VT
163W00000X
Registered Nurse
073848-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0135005
VT
Other
Enumeration date
05/02/2017
Last updated
08/04/2025
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