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Individual
JESSE LEE GRIFFIN
Active
Individual
JESSE LEE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3005
NULL
101YP1600X
Pastoral Counselor
LC3005
MD
101YP2500X
Professional Counselor
0701004903
VA
101YP2500X
Professional Counselor
LC3005
MD
101YP2500X
Professional Counselor
PRC14059
DC
Other
Enumeration date
02/01/2011
Last updated
09/20/2013
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