Individual
DR. DEBORAH A MARTIN-GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., PCC-S
Contact information
Practice address
4887 LEE RD, CLEVELAND, OH 44128-3846
(216) 647-8657
Mailing address
4887 LEE RD, CLEVELAND, OH 44128
(216) 647-8657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E7500
OH
101YM0800X
Mental Health Counselor
E7500
OH
101YP2500X
Professional Counselor
Primary
E7500
OH
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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