Individual provider · Type 1 NPI
Evan Waldman, LCMHC
Professional Counselor · Johnson, VT
NPI number
1760029474
Active
Practice location
275 Vt 15 W
Johnson, VT 05656-9657
Mailing address
605 Smugglers View Rd
Jeffersonville, VT 05464-9507
Other practice locations
- 1138 Pine St, Burlington, VT 05401-5353 · (802) 488-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 068.0065445 (VT) |
Professional Counselor: Definition to come...
About NPI 1760029474
Evan Waldman, LCMHC's National Provider Identifier is 1760029474, issued on Dec 2, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Johnson, VT. The record was last updated on Apr 29, 2025.