Individual
JASON GRINDSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC-MHSP
Contact information
Practice address
905 ARMSTRONG PL APT B, LEBANON, TN 37090-4085
(615) 939-1190
Mailing address
905 ARMSTRONG PL APT B, LEBANON, TN 37090-4085
(615) 939-1190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/03/2008
Last updated
08/11/2011
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