Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER STUART GRISSOM
Active Sole ProprietorJENNIFER STUART GRISSOM is a Mental Health Counselor healthcare provider located in SHALLOTTE, North Carolina. NPI 1659055507 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SHALLOTTE, NC
Registration Details
- NPI Number
- 1659055507
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2023 (2.9926044580197 yrs)
- Last Updated
- Jun 12, 2023
- License
-
0704013796 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5320 BRIDGERS RD STE 4SHALLOTTE, NC, 284704737Browse NC providers · Browse ZIP 28470
- Phone
- 9107699126
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SHALLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| KATHERINE J WALDROP | — | 1336498229 |
| MRS. KRISTINA NICOLE ELLEN | LPCA | 1588906242 |
| STEPHANIE FLOWERS | — | 1326444357 |
| MS. SUSAN DIANE WARREN | MSW, LCSW | 1689291858 |
| BRITTON SEIVERT | LPC LCMHCA | 1295353381 |
| AUSTIN REYLE | LCMHCA | 1912871070 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.