Individual
MRS. CHRISTY L GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
803 S BALTIMORE ST, KIRKSVILLE, MO 63501-4025
(660) 341-4882
Mailing address
17478 CLEARWATER WAY, KIRKSVILLE, MO 63501-7370
(660) 341-4882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001018054
MO
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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