Individual
MS. CYNTHIA G GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, LADC
Contact information
Practice address
172 FAIRFIELD ST, C/O CDAS, SAINT ALBANS, VT 05478-1743
(802) 524-7265
(802) 524-5723
Mailing address
172 FAIRFIELD ST, C/O CDAS, SAINT ALBANS, VT 05478-1743
(802) 524-7265
(802) 524-5723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000360
VT
101YM0800X
Mental Health Counselor
068-0000605
VT
Other
Enumeration date
09/27/2006
Last updated
09/11/2025
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