Individual
MRS. KRISTEEN K GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LPC
Contact information
Practice address
15 ASHER LN, SMITHVILLE, MO 64089-8572
(816) 866-0169
Mailing address
15 ASHER LN, SMITHVILLE, MO 64089-8572
(816) 866-0169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005038691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497598300
—
MO
Enumeration date
06/04/2007
Last updated
10/20/2022
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