# JIN LI CHAN, LCSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790512523
- **Authorized official:** JIN LI CHAN MSW, LCSW, PMH-C (OWNER)
- **Authorized official phone:** (802) 391-4378

## Contact information

- **Practice address:** 37 LEDGE RD, LYNDONVILLE, VT 05851-4000
- **Practice address phone:** (802) 391-4378
- **Mailing address:** PO BOX 33, LYNDON, VT 05849-0033
- **Mailing address phone:** (802) 391-4378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 09/16/2024