Organization
GOOD GRIEF COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD QUANSTROM LCSW (CEO)
(208) 860-9260
Entity
Organization
Contact information
Practice address
140 FERGUSON LN, TUNKHANNOCK, PA 18657-7932
(208) 860-9260
Mailing address
140 FERGUSON LN, TUNKHANNOCK, PA 18657-7932
(208) 860-9260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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