Individual
MS. JEANNE ANN GRYMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., C.A.A.D.C.
Contact information
Practice address
15 E TURNER ST, FORTY FORT, PA 18704-4913
(570) 313-6449
Mailing address
15 E TURNER ST, FORTY FORT, PA 18704-4913
(570) 313-6449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
010090
PA
Other
Enumeration date
01/20/2012
Last updated
01/31/2018
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