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Jonathan W. Grantham, LPC
Counselor in Greenwood, Mississippi
NPI 1679814834

Jonathan W. Grantham is a Counselor based in Greenwood, MS. Jonathan W. Grantham practices in Greenwood, MS and has the professional credentials of LPC. The NPI Number for Jonathan W. Grantham is 1679814834 and holds a License No. 1238 (Mississippi).

The current practice location address for Jonathan W. Grantham is 2504 Browning Road 520, Greenwood, MS and can be reached out via phone at 662-453-6211. You can also correspond with Jonathan W. Grantham through the mailing address at PO BOX 1505, GREENWOOD, MS - 38935-1505 (mailing address contact number: ).

Location: 2504 Browning Road 520, Greenwood, MS, 38935-1505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679814834
Provider Name
Jonathan W. Grantham
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2504 Browning Road 520, Greenwood, MS, 38935-1505
Phone Number
662-453-6211
Fax Number
Provider Enumeration Date
03/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2504 Browning Road 520
City
Greenwood
State
Mississippi
Zip
38930-6022
Phone Number
662-453-6211
Fax Number
person
Provider Business Mailing Address Details
Address
2504 Browning Road 520
City
Greenwood
State
Mississippi
Zip
38930-6022
Phone Number
662-453-6211
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1238 (Mississippi)
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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