Individual
TRACY GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
24 RAILROAD ST, KEENE, NH 03431-3744
(603) 354-5400
Mailing address
24 RAILROAD ST, KEENE, NH 03431-3744
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1198
NH
101YM0800X
Mental Health Counselor
2124
NH
Other
Enumeration date
03/26/2020
Last updated
06/10/2022
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