Doctor Name: | MS. JANICE LEE SOLEK-TEFFT |
NPI Number: | 1770681348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LIC CMHC |
License Number: | 068-0000147 |
Business Practice Address: | 14 Blakey Rd Underhill, VT - 054899492 |
Business Phone Number: | 8026602827 |
Business Fax Number: | 8028994113 |
Mailing Address: | 14 Blakey Rd, UNDERHILL |
State: | VT |
Postal Code: | 054899492 |
Phone Number: | 8026602827 |
Fax Number: | 8028994113 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 068-0000147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |