Individual provider · Type 1 NPI

Amanda Grocutt

Professional Counselor · Suffolk, VA

NPI number 1114565413 Active

Practice location

7025 Harbour View Blvd
Suffolk, VA 23435-2761

Call (757) 966-2805 Map

Mailing address

317 Woodruff St
Suffolk, VA 23434-3452

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1114565413

Amanda Grocutt's National Provider Identifier is 1114565413, issued on Dec 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suffolk, VA. The record was last updated on Dec 17, 2019.