Individual
GERARD GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LPC
Contact information
Practice address
4117 31ST ST, MOUNT RAINIER, MD 20712-1808
(240) 893-7296
Mailing address
4117 31ST ST, MOUNT RAINIER, MD 20712-1808
(240) 893-7296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LC9606
MD
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/28/2017
Last updated
01/14/2022
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