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NPI Code Detail

MEDICARE: SHAWNA PLOOF

MEDICARE: SHAWNA PLOOF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor097.0136598VT

General Provider Information

NPI Number : 1003768318
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA PLOOF
Provider Business Mailing Address
First Line : 89 MAIN ST
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-1483
Country : US
Telephone Number : 802-388-6751
Fax Number :
Provider Business Practice Location Address
First Line : 89 MAIN ST
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-1483
Country : US
Telephone Number : 802-388-6751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ SHAWNA PLOOF ” Practice Location

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