Individual
MRS. GRACIE ELIZABETH DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHT
Contact information
Practice address
191 NORTHRIDGE AVE, TORRINGTON, CT 06790-3310
(860) 480-1363
Mailing address
191 NORTHRIDGE AVE, TORRINGTON, CT 06790-3310
(860) 480-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
HYP.000069
CT
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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