Individual
MRS. JENNIFER BENSON GRIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
514 W BANKHEAD HWY, SUITE 100, VILLA RICA, GA 30180-1736
(678) 941-3868
(678) 941-3217
Mailing address
514 W BANKHEAD HWY, SUITE 100, VILLA RICA, GA 30180-1736
(678) 941-3868
(678) 941-3217
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839556035B
—
GA
Enumeration date
06/19/2007
Last updated
06/09/2015
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