Individual
JEFFREY C GRUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
3532 W CAPITAL AVE, GRAND ISLAND, NE 68803-1205
(308) 381-7487
(308) 381-2712
Mailing address
PO BOX 5858, GRAND ISLAND, NE 68802-5858
(308) 381-7487
(308) 381-2712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14063
NE
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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