JEANNE M CROWLEY LADC
NPI 1568776367
Counselor - Addiction (Substance Use Disorder) in Randolph, VT
Active since August 04, 2010
About Jeanne M Crowley Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNE M CROWLEY LADC (NPI 1568776367) is an individual addiction (substance use disorder) provider in Randolph, Vermont, licensed in Vermont (000498) and active in the NPI registry since August 2010.
NPPES Registry Identity
NPI1568776367
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEANNE M CROWLEYCredential: LADC
Location Address11 N MAIN STRandolph, VT 05060-1126
Mailing Address11 N Main StRandolph, VT 05060-1126 · (802) 728-4466 · Fax (802) 728-4197
Phone(802) 728-4466
Fax(802) 728-4197
Sole ProprietorYes
Enumeration DateAugust 4, 2010
✔ NPI 1568776367 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VT · 000498
11 N MAIN ST, Randolph, VT 05060
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
11 N MAIN ST, PO BOX G
RANDOLPH, VT 05060
RANDOLPH, VT 05060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568776367, enumerated as an "individual" on August 04, 2010.
The provider is located at 11 N MAIN ST RANDOLPH, VT 05060 and the phone number is (802) 728-4466.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
