Individual
PENNY SUE KIMBALL MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LADC LCMHC
Contact information
Practice address
1129 MAIN ST, ST JOHNSBURY, VT 05819
(802) 748-8904
Mailing address
PO BOX 278, ST JOHNSBURY CENTER, VT 05863
(802) 748-8904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000130
VT
101YM0800X
Mental Health Counselor
Primary
068-0000603
VT
Other
Enumeration date
01/29/2007
Last updated
09/11/2025
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