Individual
LYDIA LITTLEPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
91 FOREST DR, UNIT 3, MONTPELIER, VT 05602-8283
(802) 223-2242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000310
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007261
—
VT
01
—
1477602852
BLUE CROSS
VT
01
—
2300727
CIGNA
VT
Enumeration date
01/09/2007
Last updated
07/08/2007
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