Individual
NICHOLAS GRUDEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
4038 POND RD, SHELDON, VT 05483-8390
(203) 300-7679
Mailing address
4038 POND RD, SHELDON, VT 05483-8390
(203) 300-7679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134184
VT
Other
Enumeration date
11/06/2019
Last updated
01/06/2025
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