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Susannah Born-grissom
Mental Health Counselor in North Las Vegas, Nevada
NPI 1730532441

Susannah Born-grissom is a Mental Health Counselor based in North Las Vegas, NV and is specialized in Mental Health. Susannah Born-grissom practices in North Las Vegas, NV. The NPI Number for Susannah Born-grissom is 1730532441 and holds a License No. (Nevada).

The current practice location address for Susannah Born-grissom is 3915 Gramercy Ave, North Las Vegas, NV and can be reached out via phone at 702-628-2968.

Location: 3915 Gramercy Ave, North Las Vegas, NV, 89031-2038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730532441
Provider Name
Susannah Born-grissom
Credential
Provider Entity Type
Individual
Gender
Female
Address
3915 Gramercy Ave, North Las Vegas, NV, 89031-2038
Phone Number
702-628-2968
Fax Number
Provider Enumeration Date
07/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123456789 05 NV
institution
Provider Business Practice Location Address Details
Address
3915 Gramercy Ave
City
North Las Vegas
State
Nevada
Zip
89031-2038
Phone Number
702-628-2968
Fax Number
person
Provider Business Mailing Address Details
Address
3915 Gramercy Ave
City
North Las Vegas
State
Nevada
Zip
89031-2038
Phone Number
702-628-2968
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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