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Mrs. Anja Lee Grissom, MED&LPC
Professional Counselor in Konawa, Oklahoma
NPI 1235329699

Anja Lee Grissom is a Professional Counselor based in Konawa, OK and is specialized in Professional. Anja Lee Grissom practices in Konawa, OK and has the professional credentials of MED&LPC. The NPI Number for Anja Lee Grissom is 1235329699 and holds a License No. 2478 (Oklahoma).

The current practice location address for Anja Lee Grissom is 527 W 3Rd St, Konawa, OK and can be reached out via phone at 580-925-3286 and via fax at 580-925-2362.

Location: 527 W 3Rd St, Konawa, OK, 74849-1415
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Provider Profile Details
NPI Number
1235329699
Provider Name
Anja Lee Grissom
Credential
MED&LPC
Provider Entity Type
Individual
Gender
Female
Address
527 W 3Rd St, Konawa, OK, 74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2478 01 OK OK STATE DEPT OF HLTH
institution
Provider Business Practice Location Address Details
Address
527 W 3Rd St
City
State
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
person
Provider Business Mailing Address Details
Address
527 W 3Rd St
City
State
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2478 (Oklahoma)
Definition
Definition to come...
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