Jennifer Stuart Grissom
Jennifer Stuart Grissom is a Mental Health Counselor in Shallotte, North Carolina. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2023
Practice location Address checks out
5320 Bridgers Rd Ste 4Shallotte, NC 28470-4737
Phone: (910) 769-9126
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0704013796 (VA) |
|---|
Record details
| NPI number | 1659055507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 12, 2023 |
| Mailing address | 6472 Rolling Run Rd, Southport, NC 28461-8302 |
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