Individual
KEVIN J LENFEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADC
Contact information
Practice address
128 VT ROUTE 7B NORTH EXT, NORTH CLARENDON, VT 05759-9529
(802) 747-8812
(844) 878-0102
Mailing address
128 VT ROUTE 7B NORTH EXT, NORTH CLARENDON, VT 05759-9529
(802) 747-8812
(844) 878-0102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0127348
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023397
—
VT
01
—
4780099
CIGNA
—
01
—
9801673
MVP
—
Enumeration date
11/07/2012
Last updated
04/20/2023
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