Individual provider · Type 1 NPI
Donna S. Grisham, LADC
Addiction (Substance Use Disorder) Counselor · Portland, CT
NPI number
1508804352
Active
Practice location
553 Portland Cobalt Rd
Portland, CT 06480-1968
Fax (860) 342-4226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000424 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508804352
Donna S. Grisham, LADC's National Provider Identifier is 1508804352, issued on Jun 3, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, CT. The record was last updated on Jul 14, 2011.