Individual
KRISTIN TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LADC
Contact information
Practice address
38 NEW ENGLAND POWER RD, SUITE B, WILMINGTON, VT 05363-9764
(802) 345-7392
Mailing address
38 NEW ENGLAND POWER RD, SUITE B, WILMINGTON, VT 05363-9764
(802) 345-7392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000436
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
104078
VT
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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