Individual
MR. CARTER LANE GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 BRUSH ST, UKIAH, CA 95482-3424
(707) 462-6290
(707) 468-6427
Mailing address
201 BRUSH ST, UKIAH, CA 95482-3424
(707) 462-6290
(707) 468-6427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
03/11/2014
Last updated
09/22/2025
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