Individual
CAROLYN W BECKWITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., LCMHC
Contact information
Practice address
104 NORTH ST, BRANDON, VT 05733-8752
(802) 558-3673
Mailing address
104 NORTH ST, BRANDON, VT 05733-8752
(802) 558-3673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000622
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010137
—
VT
Enumeration date
12/29/2006
Last updated
07/08/2007
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