MRS. Donna S. Grisham, LADC
NPI #1508804352 in Portland, Connecticut
Provider Information
- NPI Number
- 1508804352
- Entity Type
- Individual
- Name
- MRS. Donna S. Grisham, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Jul 14, 2011
Practice Location
- Address
- 553 PORTLAND COBALT RD
- City
- Portland
- State
- Connecticut
- ZIP Code
- 06480-1968
- Phone
- (860) 342-0760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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