Individual
JENNIFER BEAUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LCMHC
Contact information
Practice address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0134141
VT
101YM0800X
Mental Health Counselor
068.0134628
VT
Other
Enumeration date
05/19/2022
Last updated
06/09/2022
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