| Jennifer Stuart Grissom, | |
|
5320 Bridgers Rd Ste 4, Shallotte, NC 28470-4737 | |
| (910) 769-9126 | |
| Not Available |
| Full Name | Jennifer Stuart Grissom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5320 Bridgers Rd Ste 4, Shallotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659055507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0704013796 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stuart Grissom, 6472 Rolling Run Rd, Southport, NC 28461-8302 Ph: () - | Jennifer Stuart Grissom, 5320 Bridgers Rd Ste 4, Shallotte, NC 28470-4737 Ph: (910) 769-9126 |
Brooke Simpson, LCMHCA Counselor Medicare: Medicare Enrolled Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Dr. Linda Sue Rieth, PHD, LPCA, AFC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Mrs. Evelyn Margaret Thomas, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-754-4449 | |
Sarah Spell, LCSWA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 | |
Heather Shannon Stoume Ellis, MSW, P-LCSW, LCAS, Counselor Medicare: Accepting Medicare Assignments Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 Fax: 910-251-5324 | |
Kelleyanne Helene Lonergan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-617-0222 | |
Mrs. Carly R Booth, MSW LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4437 Main St, Shallotte, NC 28470 Phone: 910-754-4449 |