| Doctor Name: | MS. ELENA MICHELLE SUTFIN VANZANDT |
| NPI Number: | 1972830123 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED.,LADC, CPS |
| License Number: | LADC#0608 |
| Business Practice Address: | 44 Roberts Road Canaan, NH - 03741 |
| Business Phone Number: | 6033593321 |
| Business Fax Number: | 6035238804 |
| Mailing Address: | 44 Roberts Road, CANAAN |
| State: | NH |
| Postal Code: | 03741 |
| Phone Number: | 6033593321 |
| Fax Number: | 6035238804 |
| NPI Enumeration Date: | 11/09/2009 |
| NPI Last Update Date: | 11/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LADC#0608 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |