Individual
JERAH GREGORY GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
154 MANHASSET DR, PORT MATILDA, PA 16870-7312
(814) 404-8412
Mailing address
154 MANHASSET DR, PORT MATILDA, PA 16870-7312
(814) 404-8412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC009674
PA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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