Northeast Kingdom Trauma Intensives
NPI #1629792114 in St Johnsbury, Vermont
Provider Information
- NPI Number
- 1629792114
- Entity Type
- Organization
- Organization Name
- Northeast Kingdom Trauma Intensives
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Sep 28, 2022
- Last Updated
- Sep 28, 2022
Practice Location
- Address
- 293 PEARL ST STE 101
- City
- St Johnsbury
- State
- Vermont
- ZIP Code
- 05819-5641
- Phone
- (802) 327-5902
Authorized Official
- Name
- DR. JENNIFER LYNN KEITH, PHD, LPC, LCHMC, NCC
- Title
- OWNER/PSYCHOTHERAPIST
- Phone
- (802) 327-5902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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