Nicholas Grudev, LCMHC | |
15 Pinecrest Dr # 12, Essex Junction, VT 05452-2912 | |
(802) 662-4298 | |
(802) 662-4538 |
Full Name | Nicholas Grudev |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 15 Pinecrest Dr # 12, Essex Junction, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053955773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0134184 (Vermont) | Primary |
Entity Name | Nfi Vermont Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497885107 PECOS PAC ID: 6709220577 Enrollment ID: O20240220003094 |
Mailing Address | Practice Location Address |
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Nicholas Grudev, LCMHC 15 Pinecrest Dr # 12, Essex Junction, VT 05452-2912 Ph: (802) 662-4298 | Nicholas Grudev, LCMHC 15 Pinecrest Dr # 12, Essex Junction, VT 05452-2912 Ph: (802) 662-4298 |
Anne Marie Hood, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Pearl St Ste 104, Essex Junction, VT 05452 Phone: 802-310-7573 | |
Gloria Varagallo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Essex Way, Suite 101, Essex Junction, VT 05452 Phone: 802-288-1001 Fax: 802-288-1077 | |
Mr. Gregory John Martin, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Susie Wilson Rd, Essex Junction, VT 05452 Phone: 802-363-3220 | |
Nicole Giard-jeter, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Brickyard Rd, Essex Junction, VT 05452 Phone: 802-783-9507 | |
Megan Kiernan, LCMHC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Abare Ave, Essex Junction, VT 05452 Phone: 802-448-2411 | |
Thomas Dalton, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Lamoille St, Essex Junction, VT 05452 Phone: 802-355-1685 |