person
Ms. Jackie M. Grissom, MA,LPC
Professional Counselor in Matthews, North Carolina
NPI 1215917117

Jackie M. Grissom is a Professional Counselor based in Matthews, NC and is specialized in Professional. Jackie M. Grissom practices in Matthews, NC and has the professional credentials of MA,LPC. The NPI Number for Jackie M. Grissom is 1215917117 and holds a License No. 2798 (North Carolina).

The current practice location address for Jackie M. Grissom is 1238 Mann Dr, Matthews, NC and can be reached out via phone at 704-771-1714 and via fax at 704-771-1890.

Location: 1238 Mann Dr, Matthews, NC, 28105-1061
person
Provider Profile Details
NPI Number
1215917117
Provider Name
Jackie M. Grissom
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
1238 Mann Dr, Matthews, NC, 28105-1061
Phone Number
704-771-1714
Fax Number
704-771-1890
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102673 05 NC
institution
Provider Business Practice Location Address Details
Address
1238 Mann Dr
City
State
Zip
28105-1061
Phone Number
704-771-1714
Fax Number
704-771-1890
person
Provider Business Mailing Address Details
Address
1238 Mann Dr
City
State
Zip
28105-1061
Phone Number
704-771-1714
Fax Number
704-771-1890
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2798 (North Carolina)
Definition
Definition to come...
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