Individual provider · Type 1 NPI

Susan Grzesiak

Mental Health Counselor · Cottage Grove, OR

NPI number 1033407705 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424-1416

Fax (541) 942-9310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033407705

Susan Grzesiak's National Provider Identifier is 1033407705, issued on Jul 15, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Jul 15, 2011.