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Nicholas Grudev, LCMHC
Mental Health Counselor in Essex Junction, Vermont
NPI 1053955773

Nicholas Grudev is a Mental Health Counselor based in Essex Junction, VT and is specialized in Mental Health. Nicholas Grudev practices in Essex Junction, VT and has the professional credentials of LCMHC. The NPI Number for Nicholas Grudev is 1053955773 and holds a License No. 068.0134184 (Vermont).

The current practice location address for Nicholas Grudev is 15 Pinecrest Dr # 12, Essex Junction, VT and can be reached out via phone at 802-662-4298 and via fax at 802-662-4538.

Location: 15 Pinecrest Dr # 12, Essex Junction, VT, 05452-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053955773
Provider Name
Nicholas Grudev
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
15 Pinecrest Dr # 12, Essex Junction, VT, 05452-2912
Phone Number
802-662-4298
Fax Number
802-662-4538
Provider Enumeration Date
11/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Pinecrest Dr # 12
City
Essex Junction
State
Vermont
Zip
05452-2912
Phone Number
802-662-4298
Fax Number
802-662-4538
person
Provider Business Mailing Address Details
Address
15 Pinecrest Dr # 12
City
Essex Junction
State
Vermont
Zip
05452-2912
Phone Number
802-662-4298
Fax Number
802-662-4538
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
068.0134184 (Vermont)
Definition
Definition to come...
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