Katz, Jared Daniel

Katz, Jared Daniel is an sole proprietor health care provider with primary practice located at 20 W Canal St Ste C8 , Winooski VT 05404-2147. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Katz, Jared Daniel can be contacted via phone (802) 343-4102.

Contact Information

Primary practice address
20 W Canal St Ste C8 Winooski VT 05404-2147
Phone: (802) 343-4102
Fax: (802) 497-2191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000657 Vermont

Profile Details

NPI number 1851463574
LBN Legal business name Katz, Jared Daniel
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Dec 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851463574 NPPES
Vermont MEDICAID 1011401

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