Organization
RIVERBEND COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL WALDRON MA, LCMHC, LADC, NCC (OWNER/PROVIDER)
(802) 745-9567
Entity
Organization
Contact information
Practice address
231 CONCORD AVE, STE 2, ST JOHNSBURY, VT 05819-1513
(802) 745-9567
(802) 467-8621
Mailing address
105 CENTER ST, SUTTON, VT 05867-9731
(802) 745-9567
(802) 467-8621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000644
VT
101YM0800X
Mental Health Counselor
Primary
068.0069442
VT
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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