| Jin Li Chan, Lcsw, Llc | |
|
37 Ledge Rd Lyndonville VT 05851-4000 | |
| (802) 391-4378 | |
| Not Available |
| Full Name | Jin Li Chan, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 37 Ledge Rd, Lyndonville, Vermont |
| Authorized Official Name and Position | Jin Li Chan (OWNER) |
| Authorized Official Contact | 8023914378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Li Chan, Lcsw, Llc Po Box 33 Lyndon VT 05849-0033 Ph: (802) 391-4378 | Jin Li Chan, Lcsw, Llc 37 Ledge Rd Lyndonville VT 05851-4000 Ph: (802) 391-4378 |
| NPI Number | 1790512523 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790512523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Tim Hash, Msw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Tulip Street, Lyndonville, VT 05851 Phone: 802-473-6753 | |
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