Katelyn Jax is a Peer Specialist based in Rutland, VT. Katelyn Jax practices in Rutland, VT. The NPI Number for Katelyn Jax is 1073380465 and holds a License No. (Vermont).
The current practice location address for Katelyn Jax is 78 S Main St, Rutland, VT and can be reached out via phone at 802-775-2381.
Location: 78 S Main St, Rutland, VT, 05702-0222
Provider Profile Details
NPI Number
1073380465
Provider Name
Katelyn Jax
Credential
Provider Entity Type
Individual
Gender
Female
Address
78 S Main St, Rutland, VT, 05702-0222
Phone Number
802-775-2381
Fax Number
Provider Enumeration Date
12/06/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
78 S Main St
City
State
Zip
05701-4591
Phone Number
802-775-2381
Fax Number
Provider Business Mailing Address Details
Address
78 S Main St
City
State
Zip
05701-4591
Phone Number
802-775-2381
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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