person
Deaetta Grinnage, LPC
Mental Health Counselor in Loganville, Georgia
NPI 1548822398

Deaetta Grinnage is a Mental Health Counselor based in Snellville, GA and is specialized in Mental Health. Deaetta Grinnage practices in Loganville, GA and has the professional credentials of LPC. The NPI Number for Deaetta Grinnage is 1548822398 and holds a License No. LPC013200 (Georgia).

The current practice location address for Deaetta Grinnage is 299 Cooper Rd Ste B, Loganville, GA and can be reached out via phone at 770-217-4336.

Location: 299 Cooper Rd Ste B, Loganville, GA, 30039-6799
person
Provider Profile Details
NPI Number
1548822398
Provider Name
Deaetta Grinnage
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
299 Cooper Rd Ste B, Loganville, GA, 30039-6799
Phone Number
770-217-4336
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC013200 01 GA PROFESSIONAL COUNSELOR LICENSE
institution
Provider Business Practice Location Address Details
Address
299 Cooper Rd Ste B
City
State
Zip
30052-2579
Phone Number
770-217-4336
Fax Number
person
Provider Business Mailing Address Details
Address
299 Cooper Rd Ste B
City
State
Zip
30052-2579
Phone Number
770-217-4336
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC013200 (Georgia)
Definition
Definition to come...
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