Individual provider · Type 1 NPI
Zachary Brock Grisham
Mental Health Counselor · Dallas, TX
NPI number
1184992596
Active
Practice location
17330 Preston Road Ste 110B
Dallas, TX 75252
Fax (972) 250-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 68651 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 68651 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1184992596
Zachary Brock Grisham's National Provider Identifier is 1184992596, issued on Dec 13, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jan 9, 2020.