Individual
DEBORAH KELIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LADC
Contact information
Practice address
390 RIVER ST., SPRINGFIELD, VT 05156
(802) 886-4500
(802) 886-4520
Mailing address
390 RIVER ST., SPRINGFIELD, VT 05156
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000234
VT
103T00000X
Psychologist
Primary
000234
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2190024
CIGNA
VT
01
—
59963
BLUE CROSS
VT
Enumeration date
03/27/2007
Last updated
10/22/2008
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