Individual provider · Type 1 NPI

Susannah Born-Grissom

Mental Health Counselor · North Las Vegas, NV

NPI number 1730532441 Active

Practice location

3915 Gramercy Ave
North Las Vegas, NV 89031-2038

Call (702) 628-2968 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730532441

Susannah Born-Grissom's National Provider Identifier is 1730532441, issued on Jul 18, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Las Vegas, NV. The record was last updated on Jul 18, 2016.