# MRS. SANDRA J GRISHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699869594
- **Gender:** F
- **Credential:** LPCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | E2641 | OH | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 104100000X | Social Worker | SZ1118 | OH | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 12/08/2023