Individual
HEATHER GRISALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
280 BROADWAY, NEWBURGH, NY 12550-5408
(845) 562-8255
Mailing address
280 BROADWAY, NEWBURGH, NY 12550-5408
(845) 562-8255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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