Organization
EQUIP CHRISTIAN COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY GRISSOM MA (LCPC)
(770) 515-8835
Entity
Organization
Contact information
Practice address
917 N WALNUT ST STE 101-15, DANVILLE, IL 61832-3911
(770) 515-8835
Mailing address
917 N WALNUT ST STE 101-15, DANVILLE, IL 61832-3911
(770) 515-8835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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