Individual
STEPHANIE JACKSON GRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCAS, CADC
Contact information
Practice address
1566 UNION RD STE B, GASTONIA, NC 28054-5301
(704) 968-0935
Mailing address
2000 CASTLETON CT APT D, BELMONT, NC 28012-2278
(704) 968-0935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13273
NCSAPPB
NC
Enumeration date
12/01/2016
Last updated
03/22/2022
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