TONY GRAVELINE, LADC

Counselor - Mental Health

Active Individual
NPI: 1023316494

Practice Address

181 CRAWFORD ROAD
Derby, VT 05829

Phone: (802) 334-6744

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 0680101473 (VT)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 000526 (VT)

Frequently Asked Questions

NPI 1023316494 is the National Provider Identifier for TONY GRAVELINE, LADC, a Counselor - Mental Health provider located in Derby, VT. This NPI was enumerated on March 8, 2011.
TONY GRAVELINE, LADC practices at 181 CRAWFORD ROAD, Derby, VT 05829.

Quick Facts

NPI
1023316494
Type
Individual
Enumerated
Mar 8, 2011
Last Updated
Sep 5, 2014

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