| Doctor Name: | MR. JOHN CARMELO GRAMUGLIA |
| NPI Number: | 1205972874 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 1342 |
| Business Practice Address: | 4 Titus Hill Rd Colebrook, NH - 03576 |
| Business Phone Number: | 6032378848 |
| Business Fax Number: | |
| Mailing Address: | Po Box 250, COLEBROOK |
| State: | NH |
| Postal Code: | 035760250 |
| Phone Number: | 6032374678 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 12/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1342 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |