Individual
MS. KELLY L GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1605 VERNON RD STE 1500, LAGRANGE, GA 30240-4166
(706) 615-1691
Mailing address
103 CHRISTOPHERS WAY, MIDLAND, GA 31820-6121
(706) 615-1691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008115
GA
Other
Enumeration date
06/16/2018
Last updated
11/16/2023
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