Organization
JACOB RUSCZEK PHD PLLC
Active
Organization
JACOB RUSCZEK PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ROBERT RUSCZEK PHD (OWNER)
(802) 505-5026
Entity
Organization
Contact information
Practice address
301 RIVER ST STE 204, MONTPELIER, VT 05602-4327
(802) 505-5026
Mailing address
301 RIVER ST STE 204, MONTPELIER, VT 05602-4327
(802) 505-5026
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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