person
Caudie R Grissom, LPC
Mental Health Counselor in Decatur, Georgia
NPI 1629309083

Caudie R Grissom is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. Caudie R Grissom practices in Decatur, GA and has the professional credentials of LPC. The NPI Number for Caudie R Grissom is 1629309083 and holds a License No. 010853725 (Georgia).

The current practice location address for Caudie R Grissom is 2616 Old Wesley Chapel Rd, Decatur, GA and can be reached out via phone at 404-408-1253 and via fax at 404-289-8055.

Location: 2616 Old Wesley Chapel Rd, Decatur, GA, 30034-2367
person
Provider Profile Details
NPI Number
1629309083
Provider Name
Caudie R Grissom
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2616 Old Wesley Chapel Rd, Decatur, GA, 30034-2367
Phone Number
404-408-1253
Fax Number
404-289-8055
Provider Enumeration Date
01/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2616 Old Wesley Chapel Rd
City
State
Zip
30034-2367
Phone Number
404-408-1253
Fax Number
404-289-8055
person
Provider Business Mailing Address Details
Address
2616 Old Wesley Chapel Rd
City
State
Zip
30034-2367
Phone Number
404-408-1253
Fax Number
404-289-8055
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
010853725 (Georgia)
Definition
Definition to come...
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