Individual
AMELA GRACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
108 KATHLEEN LN, COLCHESTER, VT 05446-7999
(802) 881-9878
Mailing address
PO BOX 236, COLCHESTER, VT 05446-0236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680134229
VT
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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