Individual
MS. ALEXUS DIVINE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LCMHCA
Contact information
Practice address
8362 SIX FORKS RD STE 104, RALEIGH, NC 27615-5086
(919) 709-7307
Mailing address
137 BROOKHAVEN DR, CLAYTON, NC 27527-6283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17877
NC
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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