PENNY SUE KIMBALL MACDONALD MS LADC LCMHC NPI 1356487284

NPI Information

NPI: 1356487284
Provider Name: PENNY SUE KIMBALL MACDONALD, MS LADC LCMHC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1129 MAIN ST
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-8904
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Penny Sue Kimball Macdonald, MS LADC LCMHC is an addiction (substance use disorder) counselor in St Johnsbury, VT with 25 years of experience. Penny Sue Kimball Macdonald, MS LADC LCMHC NPI is 1356487284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1129 MAIN ST
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-8904

The NPI 1356487284 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000130	VERMONT	Yes
2	101YM0800X	Counselor	Mental Health	068-0000603	VERMONT	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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