Individual provider · Type 1 NPI

Carter Lane Grissom

Addiction (Substance Use Disorder) Counselor · Ukiah, CA

NPI number 1689090920 Active

Practice location

201 Brush St
Ukiah, CA 95482-3424

Call (707) 462-6290 Map

Fax (707) 468-6427

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

30 other providers at this address

Other addiction (substance use disorder) counselor providers in Ukiah

See all in Ukiah →

About NPI 1689090920

Carter Lane Grissom's National Provider Identifier is 1689090920, issued on Mar 11, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ukiah, CA. The record was last updated on Sep 22, 2025.