Individual
MRS. STEPHANIE ANNETTE GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP
Contact information
Practice address
9025 OVERLOOK BLVD STE 200, BRENTWOOD, TN 37027-2710
(615) 969-9885
Mailing address
1414 COURTLAND DR, COLUMBIA, TN 38401-5279
(615) 969-9885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02189
TN
Other
Enumeration date
02/01/2007
Last updated
02/13/2019
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