Jason Grindstaff, PhD, LPC-MHSP
Counselor, Professional in Lebanon, TN. Individual provider (NPI-1).
NPI number1114190832
StatusActive
Last updated in NPPESAug 11, 2011
Details
- NPI
- 1114190832
- Entity type
- Individual (NPI-1)
- Name
- Jason Grindstaff
- Credential
- PhD, LPC-MHSP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2008
- Last updated
- Aug 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
905 Armstrong Pl Apt BLebanon, TN 37090-4085
Phone 615-939-1190
Mailing address
905 Armstrong Pl Apt BLebanon, TN 37090-4085
Phone 615-939-1190
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