Jason Herbert Fechter, LPMA

NPI #1134160310 in Berlin, Vermont

Provider Information

NPI Number: 1134160310
Entity Type: Individual
Name: Jason Herbert Fechter, LPMA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: LPMA
Enumeration Date: Jun 9, 2006
Last Updated: Dec 20, 2023

Practice Location

Address: 174 HOSPITAL LOOP
City: Berlin
State: Vermont
ZIP Code: 05602-9105
Phone: (802) 479-4083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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