Individual
JARED DANIEL KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
20 W CANAL ST STE C8, WINOOSKI, VT 05404-2147
(802) 343-4102
(802) 497-2191
Mailing address
20 W CANAL ST STE C8, WINOOSKI, VT 05404-2147
(802) 343-4102
(802) 497-2191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000657
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011401
—
VT
Enumeration date
11/15/2006
Last updated
12/30/2024
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