Waldron, Shawn M

Waldron, Shawn M is an individual health care provider with primary practice located at 45 Center St , Sutton VT 05867-9705. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Waldron, Shawn M can be contacted via phone (802) 745-9567.

Contact Information

Primary practice address
45 Center St Sutton VT 05867-9705
Phone: (802) 745-9567
Fax: (802) 533-2044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000644 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0680069442 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0127299 Vermont

Profile Details

NPI number 1760815443
LBN Legal business name Waldron, Shawn M
Credentials MA, LCMHC, LADC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2013
Last updated Nov 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760815443 NPPES
New Hampshire MEDICAID 31014778
New Hampshire MEDICAID 1022126

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