Individual provider · Type 1 NPI

Jennifer Lea Grady, LPC-MHSP

Professional Counselor · Elizabethton, TN

NPI number 1063595734 Active

Practice location

204 Rogosin Dr Ste 4
Elizabethton, TN 37643-2965

Call (423) 542-9900 Map

Fax (423) 543-0900

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC0000002421 (TN)

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About NPI 1063595734

Jennifer Lea Grady, LPC-MHSP's National Provider Identifier is 1063595734, issued on Oct 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elizabethton, TN. The record was last updated on Mar 26, 2013.