Individual
DAWN BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
51 FAIRVIEW STREET, BRATTLEBORO, VT 05301-2579
(802) 254-6028
Mailing address
390 RIVER ST, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150.0126907
VT
172V00000X
Community Health Worker
150.0126907
VT
Other
Enumeration date
06/27/2024
Last updated
01/15/2026
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