| Northeast Kingdom Trauma Intensives | |
|
293 Pearl St Ste 101 St Johnsbury VT 05819-5641 | |
| (802) 327-5902 | |
| Not Available |
| Full Name | Northeast Kingdom Trauma Intensives |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 293 Pearl St Ste 101, St Johnsbury, Vermont |
| Authorized Official Name and Position | Jennifer Lynn Keith (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8023275902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Kingdom Trauma Intensives 751 Chesterfield Holw Lyndonville VT 05851-8530 Ph: (540) 797-5703 | Northeast Kingdom Trauma Intensives 293 Pearl St Ste 101 St Johnsbury VT 05819-5641 Ph: (802) 327-5902 |
| NPI Number | 1629792114 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629792114 | NPI | - | NPPES |
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