Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jackie M. Grissom, LCMHC

Individual provider Professional Counselor · NPI 1215917117

MS. Jackie M. Grissom, LCMHC is a Professional Counselor in Kannapolis, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

6001 Gateway Center Dr Ste 105
Kannapolis, NC 28081
Phone: (704) 905-5201
Fax: (704) 612-7043
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2798 (NC)

Record details

NPI number1215917117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedJanuary 18, 2006
Last updated in NPPESFebruary 26, 2025

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