Individual
MRS. JANYTH SUZANNE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
503 MT AIRY DR, PRATTVILLE, AL 36067-2148
(334) 804-4361
Mailing address
503 MT AIRY DR, PRATTVILLE, AL 36067-2148
(334) 804-4361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3779
AL
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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