Individual
GLORIS GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-SUPV, LICDC-S
Contact information
Practice address
5500 MARKET ST STE 203, BOARDMAN, OH 44512-2624
(330) 330-8332
Mailing address
5500 MARKET ST STE 203, BOARDMAN, OH 44512-2624
(330) 330-8332
(330) 330-8332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161866
OH
101YP2500X
Professional Counselor
Primary
E.1901297
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315372
—
OH
Enumeration date
02/16/2017
Last updated
10/28/2024
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