JENNY MARIE GRISSOM

UKIAH, CA
NPI1730424219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  RI-G1004211925)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
MRS. JENNY MARIE GRISSOM
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2637
Mailing Address
MRS. JENNY MARIE GRISSOM
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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