Provider Demographics
NPI:1699755439
Name:VEDUS, KAREN (LMFT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:VEDUS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 PIGGERY RD
Mailing Address - Street 2:
Mailing Address - City:PUTNEY
Mailing Address - State:VT
Mailing Address - Zip Code:05346-8453
Mailing Address - Country:US
Mailing Address - Phone:802-332-3007
Mailing Address - Fax:
Practice Address - Street 1:437 PIGGERY RD
Practice Address - Street 2:
Practice Address - City:PUTNEY
Practice Address - State:VT
Practice Address - Zip Code:05346-8453
Practice Address - Country:US
Practice Address - Phone:802-332-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT100.0110621106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist