KRISTIN TRUDEAU (NPI# 1114154044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114154044 |
| Entity Type | Individual |
| Full Name | KRISTIN TRUDEAU |
| Credential | M.A, LADC |
| Practice Address |
38 New England Power Rd Suite B Wilmington VT 05363-9764 |
| Practice Telephone | 8023457392 |
| Mailing Telephone | 8023457392 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
104078 | VT | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000436 | VT | Behavioral Health & Social Service Providers |
| Street Address |
38 NEW ENGLAND POWER RD SUITE B |
| City | WILMINGTON |
| State | VT |
| Zip Code | 05363-9764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033227293 | Michele Doucette | Chiropractor | 497 Boyd Hill Rd, Wilmington, VT 05363 | 2006-08-28 |
| 1114943479 | Louis Anthony Beaudette | Dentist | 108 East Main Street, Wilmington, VT 05363 | 2006-07-13 |
| 1740269042 | Joanne C Case | Social Worker | 210 Route 9e, Suite 5, Wilmington, VT 05363 | 2006-01-13 |
| 1376067918 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 107 E Main St, Wilmington, VT 05363 | 2017-07-26 |
| 1922388768 | Thomas Urban Kaufmann | Pharmacist | 107 East Main St, Wilmington, VT 05363 | 2011-08-25 |
| 1346520517 | Gary M Scholl | Pharmacist | 107 East Main St., Wilmington, VT 05363 | 2011-08-19 |
| 1528348752 | Richard Brueckner II | Pharmacist | 107 East Main St, Wilmington, VT 05363-0279 | 2011-08-19 |
| 1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
| 1477195758 | Carly Rae Wershoven | Pharmacist | 107 E Main St, Wilmington, VT 05363-4000 | 2019-10-08 |
| 1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
| Find all providers in zip 05363 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443734 | Haylee Allen | Counselor | 2515 Costmary Ln Unit 11, Wilmington, NC 28412-2448 | 2020-10-08 |
| 1174130686 | Devan James Carroll | Counselor | 311 Judges Rd Ste E, Wilmington, NC 28405-3651 | 2020-09-29 |
| 1891306833 | Kyara Panula Beck | Counselor | 1104 N Adams St, Wilmington, DE 19801-1327 | 2020-08-13 |
| 1205447679 | Outreach Recovery II | Counselor | 1007 N Orange St Fl 4, Wilmington, DE 19801-1242 | 2020-08-11 |
| 1861010183 | Charles Franklin Lyon | Counselor | 3805 New Holland Dr, Wilmington, NC 28412-7155 | 2020-07-13 |
| 1407478092 | Samantha Renee Lomske | Counselor | 48 Randolph St, Wilmington, OH 45177-2731 | 2020-05-18 |
| 1659908853 | Andrena Caroline Cooley | Counselor | 3420 Wrightsville Ave, Wilmington, NC 28403-4118 | 2020-03-26 |
| 1376026559 | Debra Joy Frump | Counselor | 232 N South St, Wilmington, OH 45177-1649 | 2018-09-13 |
| 1831671791 | Kristin Jones | Counselor | 2206a Wrightsville Ave, Wilmington, NC 28403-2406 | 2018-09-06 |
| 1043798853 | Shareeda Cephas | Counselor | 2507 W 6th St, Wilmington, DE 19805-2908 | 2018-08-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 05363 |
Please comment or provide details below to improve the information on KRISTIN TRUDEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.