Doctor Name: | MICHAEL L. GRABILL |
NPI Number: | 1083604805 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MED, LPC, LAC |
License Number: | PC000823 |
Business Practice Address: | 340 3rd St Castle Rock, CO - 801042438 |
Business Phone Number: | 7179940347 |
Business Fax Number: | |
Mailing Address: | 1561 Mountain Ranch Rd, LARKSPUR |
State: | CO |
Postal Code: | 801186618 |
Phone Number: | 7179940347 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000823 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |