IndividualActive
Evan Waldman, LCMHC
NPI 1760029474 · Professional Counselor · Johnson, VT
Provider details
- NPI number
- 1760029474
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 068.0065445 (VT)
Mailing address
605 Smugglers View Rd
Jeffersonville, VT 05464-9507
Registry dates
- Enumerated
- 2019-12-02
- Last updated
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.