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Contact Information

JENNIFER BEAUDIN, LADC, LCMHC
11 N MAIN ST
RANDOLPH, VT05060-1126
 Phone: 802-728-4466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JENNIFER BEAUDIN · (Female)

NPI # 1396482345
Status Active
Credentials LADC, LCMHC
Entity Individual
Enumeration date 05/19/2022
Last updated 06/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 068.0134628
  • VT License # 151.0134141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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