Jonathan W. Grantham, LPC

NPI #1679814834 in Greenwood, Mississippi

Provider Information

NPI Number: 1679814834
Entity Type: Individual
Name: Jonathan W. Grantham, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Mar 12, 2013
Last Updated: Mar 12, 2013

Practice Location

Address: 2504 BROWNING ROAD 520
City: Greenwood
State: Mississippi
ZIP Code: 38930-6022
Phone: (662) 453-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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