Individual
MS. MARCELLA E GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., L.A.C
Contact information
Practice address
112 E COMMERCIAL AVE, ANACONDA, MT 59711-2245
(406) 490-0124
Mailing address
112 E COMMERCIAL AVE, ANACONDA, MT 59711-2245
(406) 490-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
775
MT
1041C0700X
Clinical Social Worker
Primary
843
MT
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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