Provider Demographics
NPI:1801179734
Name:GRISWOLD, JULIANNE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:
Last Name:GRISWOLD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:
Other - Last Name:CARROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-0053
Mailing Address - Country:US
Mailing Address - Phone:978-302-6371
Mailing Address - Fax:508-538-0477
Practice Address - Street 1:24 STONEWALL DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3316
Practice Address - Country:US
Practice Address - Phone:978-302-6371
Practice Address - Fax:508-538-0477
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC8943101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health