Individual
JASON HERBERT FECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPMA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0134181
VT
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
047.0000722
VT
Other
Enumeration date
06/09/2006
Last updated
12/20/2023
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