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Marta Jo Grissom, LMHC
Student in an Organized Health Care Education/Training Program in Bellevue, Washington
NPI 1881020758

Marta Jo Grissom is a Student in an Organized Health Care Education/Training Program based in Seattle, WA. Marta Jo Grissom practices in Bellevue, WA and has the professional credentials of LMHC. The NPI Number for Marta Jo Grissom is 1881020758 and holds a License No. LH60402671 (Washington).

The current practice location address for Marta Jo Grissom is 14216 Ne 21St St, Bellevue, WA and can be reached out via phone at 425-653-4900 and via fax at 425-653-4910.

Location: 14216 Ne 21St St, Bellevue, WA, 98122-2735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881020758
Provider Name
Marta Jo Grissom
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
14216 Ne 21St St, Bellevue, WA, 98122-2735
Phone Number
425-653-4900
Fax Number
425-653-4910
Provider Enumeration Date
09/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14216 Ne 21St St
City
Bellevue
State
Washington
Zip
98007-3720
Phone Number
425-653-4900
Fax Number
425-653-4910
person
Provider Business Mailing Address Details
Address
14216 Ne 21St St
City
Bellevue
State
Washington
Zip
98007-3720
Phone Number
425-653-4900
Fax Number
425-653-4910
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CO60461910 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LH60402671 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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