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1013556679
JOHN VANDEGRIFT
LONGMONT, CO
NPI
1013556679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACA.0007475)
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
JOHN VANDEGRIFT MA, CAC I
709 3RD AVE
LONGMONT, CO 80501-5926
Phone number: 970-281-7872
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Mailing Address
JOHN VANDEGRIFT MA, CAC I
709 3RD AVE
LONGMONT, CO 80501-5926
Phone number:
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