Collin Grossruck's National Provider Identifier (NPI) Details
Collin Grossruck, LMFT
NPI: 1457184624
Enumeration Date: 2024-08-23
Last updated: 2024-08-23
Sole Proprietor: YES
Status: active
Postal Address: 9810 ZIRCON DR SW, LAKEWOOD, WA
Phone: 253-218-7465
Primary Practice Address: 9810 ZIRCON DR SW, TACOMA, WA
Practice's phone: 253-218-7465