Grudev, Nicholas

Grudev, Nicholas is an individual health care provider with primary practice located at 15 Pinecrest Dr # 12 , Essex Junction VT 05452-2912. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Grudev, Nicholas can be contacted via phone (802) 662-4298.

Contact Information

Primary practice address
15 Pinecrest Dr # 12 Essex Junction VT 05452-2912
Fax: (802) 662-4538
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0134184 Vermont

Profile Details

NPI number 1053955773
LBN Legal business name Grudev, Nicholas
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2019
Last updated Nov 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers