Individual provider · Type 1 NPI

Grace A. Carossino

Mental Health Counselor · Lacey, WA

NPI number 1104662618 Active

Practice location

670 Woodland Square Loop SE Ste 301
Lacey, WA 98503-1091

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104662618

Grace A. Carossino's National Provider Identifier is 1104662618, issued on Jul 3, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lacey, WA. The record was last updated on Jul 3, 2024.