Individual
MS. LYNN M REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MHC
Contact information
Practice address
78 S MAIN ST, RUTLAND, VT 05701-4594
(802) 775-2381
Mailing address
PO BOX 222, RUTLAND, VT 05702-0222
(802) 775-2381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000303
VT
101YM0800X
Mental Health Counselor
068-0000449
VT
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00048433
BC/BS
VT
05
—
1007141
—
VT
Enumeration date
11/01/2006
Last updated
10/31/2024
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