Individual
MS. JOAN ELIZABETH GRUSSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, LISAC
Contact information
Practice address
11851 N 51ST AVE STE B110, GLENDALE, AZ 85304-2823
(480) 882-4545
(602) 409-0499
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC 10120
AZ
101YM0800X
Mental Health Counselor
Primary
LPC 11798
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428362
—
AZ
Enumeration date
02/20/2012
Last updated
02/07/2024
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