Individual
MRS. JANICE R. GRENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, NCC, CSAT
Contact information
Practice address
2197 PINE HILL BROCK RD, LONDON, KY 40741-8502
(606) 877-1840
(606) 877-1840
Mailing address
2197 PINE HILL BROCK RD, LONDON, KY 40741-8502
(606) 877-1840
(606) 877-1840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0868
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/04/2012
Last updated
01/04/2012
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