Tracy Grissom, LCMHC, MLADC
NPI #1013544212 in Keene, New Hampshire
Provider Information
- NPI Number
- 1013544212
- Entity Type
- Individual
- Name
- Tracy Grissom, LCMHC, MLADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCMHC, MLADC
- Enumeration Date
- Mar 26, 2020
- Last Updated
- Jun 10, 2022
Practice Location
- Address
- 24 RAILROAD ST
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-3744
- Phone
- (603) 354-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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