Jennifer Stuart Grissom
NPI #1659055507 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1659055507
- Entity Type
- Individual
- Name
- Jennifer Stuart Grissom
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 12, 2023
- Last Updated
- Jun 12, 2023
Practice Location
- Address
- 5320 BRIDGERS RD STE 4
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4737
- Phone
- (910) 769-9126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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