Organization · Type 2 NPI

Jacob Rusczek PHD PLLC

Adult Mental Health Clinic/Center · Montpelier, VT

NPI number 1114796489 Active

Practice location

301 River St Ste 204
Montpelier, VT 05602-4327

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1114796489

Jacob Rusczek PHD PLLC's National Provider Identifier is 1114796489, issued on Dec 27, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Montpelier, VT. The record was last updated on Dec 27, 2023.