Individual
BEVERLY SUSAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
2 NORTH ST, BARRE, VT 05641-3810
(802) 917-2431
(802) 622-0956
Mailing address
2 NORTH ST, BARRE, VT 05641-3810
(802) 917-2431
(802) 622-0956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0128112
VT
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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