Individual provider · Type 1 NPI
Willie Grissom
Mental Health Counselor · Edmond, OK
NPI number
1083034391
Active
Practice location
505 Crestview
Edmond, OK 73012-6638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1083034391
Willie Grissom's National Provider Identifier is 1083034391, issued on Apr 25, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Apr 25, 2014.