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Evan Waldman, LCMHC
Professional Counselor in Johnson, Vermont
NPI 1760029474

Evan Waldman is a Professional Counselor based in Jeffersonville, VT and is specialized in Professional. Evan Waldman practices in Johnson, VT and has the professional credentials of LCMHC. The NPI Number for Evan Waldman is 1760029474 and holds a License No. 068.0065445 (Vermont).

The current practice location address for Evan Waldman is 275 Vt 15 W, Johnson, VT and can be reached out via phone at 802-585-0703.

Location: 275 Vt 15 W, Johnson, VT, 05464-9507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760029474
Provider Name
Evan Waldman
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
275 Vt 15 W, Johnson, VT, 05464-9507
Phone Number
802-585-0703
Fax Number
Provider Enumeration Date
12/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
275 Vt 15 W
City
Johnson
State
Vermont
Zip
05656-9657
Phone Number
802-585-0703
Fax Number
person
Provider Business Mailing Address Details
Address
275 Vt 15 W
City
Johnson
State
Vermont
Zip
05656-9657
Phone Number
802-585-0703
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
068.0065445 (Vermont)
Definition
Definition to come...
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