Individual
BROOKE GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
24 HANOVER ST # 212-B, LEBANON, NH 03766-1334
(603) 787-5778
Mailing address
835 US ROUTE 4, CANAAN, NH 03741-7880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
097.0135286
VT
101YM0800X
Mental Health Counselor
Primary
2828
NH
Other
Enumeration date
04/12/2022
Last updated
03/11/2024
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