Individual
EVELYN ZOECKLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
240 SMITH RD, MORETOWN, VT 05660-9217
(802) 496-4865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000607
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009898
—
VT
01
—
14Y001580VT01
ANTHEM
VT
01
—
2163465
CIGNA
VT
01
—
59560
BLUE CROSS
VT
Enumeration date
01/03/2007
Last updated
08/13/2019
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