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Individual

GRISELDA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2323 KERRYSDALE DR SE, OLYMPIA, WA 98513-3493
(360) 972-0291
Mailing address
2323 KERRYSDALE DR SE, OLYMPIA, WA 98513-3493
(360) 972-0291

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61203952
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO61203952
SUBSTANCE USE COUNSELING
WA
Enumeration date
09/08/2021
Last updated
09/08/2021
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