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Individual

DEBORAH LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
77 MAIN STREET, SUITE 2, LYNDONVILLE, VT 05851-0664
(802) 249-9654
Mailing address
PO BOX 664, LYNDONVILLE, VT 05851
(802) 249-9654

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
000143
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0125827
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8867
BLUECROSS/SHIELD
VT
Enumeration date
01/17/2007
Last updated
05/05/2022
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