Willie Grissom
Willie Grissom is a Mental Health Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
505 CrestviewEdmond, OK 73012-6638
Phone: (405) 706-8936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1083034391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2014 |
| Last updated in NPPES | April 25, 2014 |
| Mailing address | 505 Crestview, Edmond, OK 73012-6638 |
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