Provider Demographics
NPI:1831236439
Name:GONTER-GROSS, FRANCES CLARE (LADC, LCMHC)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:CLARE
Last Name:GONTER-GROSS
Suffix:
Gender:F
Credentials:LADC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 FORREST AVE
Mailing Address - Street 2:PO BOX 1336
Mailing Address - City:DERBY LINE
Mailing Address - State:VT
Mailing Address - Zip Code:05830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 SEYMOUR LANE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855
Practice Address - Country:US
Practice Address - Phone:802-334-5246
Practice Address - Fax:802-334-1093
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0000554101Y00000X
VT000087101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0029178OtherBCBS-LADC
VT1008143Medicaid
VT0058287OtherBCBS-LCMHC