Individual
MACY GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4277 CHELSEA HARBOR DR W, JACKSONVILLE, FL 32224-7581
(678) 255-7490
Mailing address
4277 CHELSEA HARBOR DR W, JACKSONVILLE, FL 32224-7581
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC5921
CA
Other
Enumeration date
11/03/2016
Last updated
09/12/2025
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