Anja Lee Grissom, MED & LPC Valid NPI
Individual provider · Professional Counselor · Konawa, OK
- NPI
- 1235329699
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2478 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-07-31
- Last updated
- 2010-02-12
Practice location
527 W 3rd St
Konawa, OK 74849-1415
(580) 925-3286