Daley, Jennifer Katherine

Daley, Jennifer Katherine is an individual health care provider with primary practice located at 1 Kennedy Dr Ste L5 , South Burlington VT 05403-7165. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Daley, Jennifer Katherine can be contacted via phone (802) 448-2138.

Contact Information

Primary practice address
1 Kennedy Dr Ste L5 South Burlington VT 05403-7165
Phone: (802) 448-2138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890000998 Vermont

Profile Details

NPI number 1568436467
LBN Legal business name Daley, Jennifer Katherine
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 10th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568436467 NPPES
Vermont MEDICAID 1010504

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