Individual
LISA ELAINE GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
2120 S PLUM ST STE A, SEATTLE, WA 98144-4539
(206) 441-3043
(206) 442-4155
Mailing address
2120 S PLUM ST STE A, SEATTLE, WA 98144-4539
(206) 441-3043
(206) 442-4155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000455
WA
Other
Enumeration date
11/05/2018
Last updated
01/31/2022
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