Individual
JOSHA ANNE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
168 MAIN ST, JEFFERSONVILLE, VT 05464-2100
(802) 730-2151
Mailing address
1753 VT ROUTE 109, WATERVILLE, VT 05492-9694
(802) 730-2151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0132206
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034086
—
VT
Enumeration date
05/18/2018
Last updated
04/21/2019
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