Individual provider · Type 1 NPI
Shawn M. Waldron, MA, LCMHC, LADC, NCC
Addiction (Substance Use Disorder) Counselor · Sutton, VT
NPI number
1760815443
Active
Practice location
45 Center St
Sutton, VT 05867-9705
Fax (802) 533-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000644 (VT) |
| Mental Health Counselor | 101YM0800X | 0680069442 (VT) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 151.0127299 (VT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1760815443
Shawn M. Waldron, MA, LCMHC, LADC, NCC's National Provider Identifier is 1760815443, issued on Aug 16, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sutton, VT. The record was last updated on Nov 29, 2022.