Individual
JASON HERBERT FECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPMA
Contact information
Practice address
174 HOSPITAL LOOP, BERLIN, VT 05602-9105
(802) 479-4083
(802) 476-1476
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 479-4083
(802) 476-1476
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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