Pepoon, Kristi Lynn

Pepoon, Kristi Lynn is an sole proprietor health care provider with primary practice located at 160 Benmont Ave Ste 31 , Bennington VT 05201-1899. She 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Pepoon, Kristi Lynn can be contacted via phone (802) 733-5566.

Contact Information

Primary practice address
160 Benmont Ave Ste 31 Bennington VT 05201-1899
Phone: (802) 733-5566
Fax: (802) 733-5566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0124428 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0115546 Vermont

Profile Details

NPI number 1790207504
LBN Legal business name Pepoon, Kristi Lynn
Credentials MSW, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2017
Last updated Jul 21st, 2022 - about 2 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 1790207504 NPPES
Vermont MEDICAID 1031141

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