Individual provider · Type 1 NPI

Mileasha Lyn Grogan

Mental Health Counselor · Wichita Falls, TX

NPI number 1417205253 Active

Practice location

1000 Brook Ave
Wichita Falls, TX 76301-5007

Fax (940) 397-3150

Mailing address

1000 Brook Street
Wichita Falls, TX 76301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X65577 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1417205253

Mileasha Lyn Grogan's National Provider Identifier is 1417205253, issued on Aug 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wichita Falls, TX. The record was last updated on Aug 28, 2012.