Individual provider · Type 1 NPI

Tony J. Graveline, LADC

Mental Health Counselor · Derby, VT

NPI number 1023316494 Active

Practice location

181 Crawford Road
Derby, VT 05829

Call (802) 334-6744 Map

Mailing address

PO Box 724
Newport, VT 05855

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0680101473 (VT)
Addiction (Substance Use Disorder) Counselor 101YA0400X000526 (VT)

Mental Health Counselor: Definition to come...

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About NPI 1023316494

Tony J. Graveline, LADC's National Provider Identifier is 1023316494, issued on Mar 8, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Derby, VT. The record was last updated on Sep 5, 2014.