Individual
SUZANNA LAVIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LAKESHORE BLVD S, GRAND ISLE, VT 05458-2408
(802) 585-1342
Mailing address
1 LAKESHORE BLVD S, GRAND ISLE, VT 05458-2408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134870
VT
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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