Individual
SARA ELIZABETH GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA; LCASA
Contact information
Practice address
1309 TATUM DR, NEW BERN, NC 28560-4314
(252) 672-8742
(252) 638-3742
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS21952
NC
101YP2500X
Professional Counselor
Primary
A11820
NC
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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