Individual
BRUCE GRIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, CCM
Contact information
Practice address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(617) 478-3806
Mailing address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(617) 478-3806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4050
MA
171M00000X
Case Manager/Care Coordinator
00132215
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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