Individual
CHERYLLANN GRIMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11122 WURZBACH, STE. 301, SAN ANTONIO, TX 78230
(210) 669-0345
(210) 888-2218
Mailing address
8807 CHILLIWACK DR, SAN ANTONIO, TX 78250-5250
(210) 445-0408
(210) 888-2218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11897898
CAQH
TX
05
—
1702771
—
TX
Enumeration date
04/17/2007
Last updated
01/30/2012
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