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Jeffrey Grisham, PSYD
Student in an Organized Health Care Education/Training Program in Corcoran, California
NPI 1447967856

Jeffrey Grisham is a Student in an Organized Health Care Education/Training Program based in Corcoran, CA. Jeffrey Grisham practices in Corcoran, CA and has the professional credentials of PSYD. The NPI Number for Jeffrey Grisham is 1447967856 and holds a License No. (California).

The current practice location address for Jeffrey Grisham is Ca Substance Abuse Treatment Facility & State Prision, Corcoran, CA and can be reached out via phone at 559-992-7100.

Location: Ca Substance Abuse Treatment Facility & State Prision, Corcoran, CA, 93212-0125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447967856
Provider Name
Jeffrey Grisham
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
Ca Substance Abuse Treatment Facility & State Prision, Corcoran, CA, 93212-0125
Phone Number
559-992-7100
Fax Number
Provider Enumeration Date
11/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Ca Substance Abuse Treatment Facility & State Prision
City
Corcoran
State
California
Zip
93212-9321
Phone Number
559-992-7100
Fax Number
person
Provider Business Mailing Address Details
Address
Ca Substance Abuse Treatment Facility & State Prision
City
Corcoran
State
California
Zip
93212-9321
Phone Number
559-992-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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