Kara Dudman, LADC, LCMHC

Individual provider Active NPI Mental Health Counselor · Berlin, VT

NPI 1992466262 · NPPES record last updated Jan 7, 2022

Key facts

NPI
1992466262
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
068.0134268 (VT)
Practice address
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone
(802) 371-4100
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
151.0134053VTMDAddiction (Substance Use Disorder) Counselor
068.0134268VTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0134053 VT
Mental Health Counselor 101YM0800X 068.0134268 VT Yes

Addresses

Primary practice location

130 Fisher Rd Unit 1
Berlin, VT 05602-8132

Mailing address

PO Box 547
Barre, VT 05641-0547
Phone (802) 371-4100

Other providers in Berlin, VT

All providers in Berlin, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.