| Katherine Goetz Licsw Llc | |
|
99 Newark St West Burke VT 05871-9715 | |
| (802) 397-4331 | |
| Not Available |
| Full Name | Katherine Goetz Licsw Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 99 Newark St, West Burke, Vermont |
| Authorized Official Name and Position | Katherine Goetz (EMPLOYEE) |
| Authorized Official Contact | 8023974331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Goetz Licsw Llc 99 Newark St West Burke VT 05871-9715 Ph: () - | Katherine Goetz Licsw Llc 99 Newark St West Burke VT 05871-9715 Ph: (802) 397-4331 |
| NPI Number | 1275252033 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275252033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Jennifer Dubuque, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1748 Newark St, West Burke, VT 05871 Phone: 802-274-9139 |