Provider Demographics
NPI:1235806134
Name:CARON, PAUL J (BA)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:CARON
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CATAMOUNT PARK
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-1397
Mailing Address - Country:US
Mailing Address - Phone:802-989-2582
Mailing Address - Fax:
Practice Address - Street 1:67 CATAMOUNT PARK
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1397
Practice Address - Country:US
Practice Address - Phone:802-989-2582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health