Individual
JESSICA GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
2100 LAKESIDE AVE E, CLEVELAND, OH 44114-1126
(216) 566-0047
Mailing address
8590 EVERGREEN TRL APT 312, OLMSTED TWP, OH 44138-4285
(440) 915-4431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2204344-TRNE
OH
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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