Provider Demographics
NPI:1932303666
Name:SALEM, JANET (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:SALEM
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:VT
Mailing Address - Zip Code:05149-1044
Mailing Address - Country:US
Mailing Address - Phone:508-320-3371
Mailing Address - Fax:802-885-5500
Practice Address - Street 1:156 WALL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-3528
Practice Address - Country:US
Practice Address - Phone:802-591-3572
Practice Address - Fax:802-885-5500
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1177101YA0400X
MA3435101YM0800X
VT068.0119314101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)