Individual
BIANCA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LICDC-CS
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1500296
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
151214
OH
101YM0800X
Mental Health Counselor
1500296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407945
—
OH
Enumeration date
03/05/2017
Last updated
07/04/2021
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