Individual provider · Type 1 NPI

Jonathan W. Grantham, LPC

Counselor · Greenwood, MS

NPI number 1679814834 Active

Practice location

2504 Browning Road 520
Greenwood, MS 38930-6022

Call (662) 453-6211 Map

Mailing address

PO Box 1505
Greenwood, MS 38935-1505

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1238 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1679814834

Jonathan W. Grantham, LPC's National Provider Identifier is 1679814834, issued on Mar 12, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Greenwood, MS. The record was last updated on Mar 12, 2013.