Individual
MS. ELENI RANDOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
107 FISHER POND RD, ST ALBANS, VT 05478-6286
(802) 524-6555
(802) 524-6562
Mailing address
3 BLAKEY RD, UNDERHILL, VT 05489-9493
(802) 578-2563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000405
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009357
—
VT
01
—
2232418
CIGNA
VT
01
—
370054
MHN
VT
01
—
48071
BCBS
VT
01
—
563834
VALUE OPTIONS
VT
Enumeration date
05/05/2006
Last updated
07/08/2007
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