Individual
MR. KEN D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LCMHC, LADC
Contact information
Practice address
3 UNION ST, BRANDON, VT 05733-1127
(802) 247-3136
Mailing address
3 UNION ST, BRANDON, VT 05733-1127
(802) 247-3136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000401
VT
101YM0800X
Mental Health Counselor
0680000419
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007742
—
VT
01
—
49976
PROVIDER NUMBER
VT
Enumeration date
04/03/2007
Last updated
09/11/2025
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