Provider Demographics
NPI:1972816536
Name:KONDOS, RENEE (LCMHC)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:KONDOS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:RIOPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:111 BRATTLE ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6262
Mailing Address - Country:US
Mailing Address - Phone:802-490-4148
Mailing Address - Fax:
Practice Address - Street 1:439 W RIVER RD
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-9088
Practice Address - Country:US
Practice Address - Phone:802-490-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
VT068.0134263101YM0800X, 101YM0800X
VT097.0131807101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional