Individual
DR. MARANDA GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
984 AUTUMN PINES DR, ORANGE PARK, FL 32065-2687
(334) 669-0202
Mailing address
984 AUTUMN PINES DR, ORANGE PARK, FL 32065-2687
(334) 669-0202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3303
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
3303
AL
101YM0800X
Mental Health Counselor
3303
AL
101YP2500X
Professional Counselor
Primary
3303
AL
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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