NPI 1023551710

Jin Li Chan, LICSW

Practitioner Clinical Social Worker St Johnsbury, VT

Practice location

Address: 714 Breezy Hill Rd, St Johnsbury, VT 05819-8882
Phone: (802) 748-7500
Fax: (802) 745-1188
Mailing address: 1315 Hospital Dr, St Johnsbury, VT 05819-9210

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089.0092264 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1023551710
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2016
Record last updated: 29 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.