Individual
LISA KIMBERLEY SMITH GRUNZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
231 N SPRING ST, GREENSBORO, NC 27401-2231
(336) 899-8800
Mailing address
409 HILLCREST DR, GREENSBORO, NC 27403-1212
(678) 642-9405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
A13438
NC
Other
Enumeration date
12/27/2017
Last updated
08/09/2023
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