Keicher, Jason William

Keicher, Jason William is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Keicher, Jason William can be contacted via phone (800) 468-9118.

Contact Information

Primary practice address
215 Stratton Rd Rutland VT 05701-4621
Phone: (800) 468-9118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 068800 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0134169 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 085469 New York

Profile Details

NPI number 1245329838
LBN Legal business name Keicher, Jason William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 19th, 2019 - about 7 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 1245329838 NPPES
New York MEDICAID 01079267

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