Kenrodric Grissom
Kenrodric Grissom is a Counselor in Seattle, Washington. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
100 23rd Ave SSeattle, WA 98144-2302
Phone: (206) 849-0614
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1457088106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 3, 2022 |
| Last updated in NPPES | August 3, 2022 |
| Certification date | August 3, 2022 |
| Mailing address | 12725 33rd Ave Ne Apt B501, Seattle, WA 98125-8908 |
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