Individual provider · Type 1 NPI

Caudie R. Grissom, LPC

Mental Health Counselor · Decatur, GA

NPI number 1629309083 Active

About NPI 1629309083

Caudie R. Grissom, LPC's National Provider Identifier is 1629309083, issued on Jan 26, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Jan 26, 2010.