Individual provider · Type 1 NPI

Gina Grissom, LPCC

Professional Counselor · Louisville, KY

NPI number 1194381335 Active

Practice location

10101 Linn Station Rd Ste 600
Louisville, KY 40223-3818

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X247974 (KY)

Professional Counselor: Definition to come...

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About NPI 1194381335

Gina Grissom, LPCC's National Provider Identifier is 1194381335, issued on May 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on May 14, 2019.