Individual provider · Type 1 NPI

Mark W. Grady, CADCIII

Addiction (Substance Use Disorder) Counselor · Woodruff, WI

NPI number 1154411528 Active

Practice location

240 Maple Street
Woodruff, WI 54568-0470

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14200 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154411528

Mark W. Grady, CADCIII's National Provider Identifier is 1154411528, issued on Oct 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodruff, WI. The record was last updated on Jul 9, 2007.