Individual
MS. EMILY JOYCE GRANDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC
Contact information
Practice address
165 GLENMIL LN, ELLAMORE, WV 26267-7020
(304) 997-2835
Mailing address
165 GLENMIL LN, ELLAMORE, WV 26267-7020
(304) 997-2835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1054
WV
101Y00000X
Counselor
172
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
1054
WV
101YM0800X
Mental Health Counselor
1054
WV
101YM0800X
Mental Health Counselor
172
WV
101YP2500X
Professional Counselor
Primary
1054
WV
106H00000X
Marriage & Family Therapist
172
WV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023397001
—
WV
Enumeration date
06/06/2007
Last updated
07/10/2026
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