Kenrodric Grissom is a Counselor based in Seattle, WA. Kenrodric Grissom practices in Seattle, WA. The NPI Number for Kenrodric Grissom is 1457088106 and holds a License No. (Washington).
The current practice location address for Kenrodric Grissom is 100 23Rd Ave S, Seattle, WA and can be reached out via phone at 206-849-0614.
Location: 100 23Rd Ave S, Seattle, WA, 98125-8908
Provider Profile Details
NPI Number
1457088106
Provider Name
Kenrodric Grissom
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 23Rd Ave S, Seattle, WA, 98125-8908
Phone Number
206-849-0614
Fax Number
Provider Enumeration Date
08/03/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
100 23Rd Ave S
City
State
Zip
98144-2302
Phone Number
206-849-0614
Fax Number
Provider Business Mailing Address Details
Address
100 23Rd Ave S
City
State
Zip
98144-2302
Phone Number
206-849-0614
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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