Individual
MRS. LEA RAE GROSVENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.141046
OH
101YP2500X
Professional Counselor
Primary
LPC-23977
AZ
Other
Enumeration date
12/21/2017
Last updated
01/06/2026
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