Individual
AMANDA GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
840 INTERSTATE DR, GRAYSON, KY 41143
(606) 474-5151
(606) 475-3219
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
128048
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244565
ANTHEM BCBS
—
01
—
11688454
CAQH
—
05
—
7100283530
—
KY
01
—
JAN 7,2009
LIFESYNCH
—
Enumeration date
09/06/2006
Last updated
08/13/2018
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